Gollard, Russell Patrick

Gollard, Russell Patrick is an individual health care provider with primary practice located at 3175 Saint Rose Pkwy Fl 2 , Henderson NV 89052-3506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gollard, Russell Patrick can be contacted via phone (702) 724-8787.

Contact Information

Primary practice address
3175 Saint Rose Pkwy Fl 2 Henderson NV 89052-3506
Phone: (702) 724-8787
Fax: (702) 878-3078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 7818 Nevada

Profile Details

NPI number 1699772210
LBN Legal business name Gollard, Russell Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Jan 3rd, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699772210 NPPES
Nevada MEDICAID 002019902
Nevada Other 830006195
Nevada MEDICAID 121745

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