Madsen, Daniel Spencer
Madsen, Daniel Spencer is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Las Vegas NV 89191-6600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Madsen, Daniel Spencer can be contacted via phone (702) 653-2840.Contact Information
Primary practice address
4700 Las Vegas Blvd N
Las Vegas NV 89191-6600
Phone: (702) 653-2840
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5384574-1205 | Utah |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | M14927 | Idaho |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MED-PHYS-LIC-80205 | Montana |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 12595A | Wyoming |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 37113 | Arizona |
Profile Details
NPI number | 1104998137 |
---|---|
LBN Legal business name | Madsen, Daniel Spencer |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2006 |
Last updated | Mar 13th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104998137 | NPPES |
Idaho | MEDICAID | 1104998137 | |
Idaho | MEDICAID | 1104998137 |
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