Moldestad, Eric

Moldestad, Eric is an individual health care provider with primary practice located at 2020 Palomino Lane Ste 100, Las Vegas NV 89106-4894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moldestad, Eric can be contacted via phone (702) 759-8600.

Contact Information

Primary practice address
2020 Palomino Lane Ste 100 Las Vegas NV 89106-4894
Phone: (702) 759-8600
Fax: (702) 384-1815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 14294 Nevada

Profile Details

NPI number 1104018951
LBN Legal business name Moldestad, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Aug 11th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104018951 NPPES
California MEDICAID 1104018951
California Other P01077444
California MEDICAID 200471140A
California MEDICAID 1104018951

Popular Providers