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1104018951
ERIC MOLDESTAD
LAS VEGAS, NV
NPI
1104018951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NV 14294)
Enumeration Date
2007-08-15
Last Update Date
2014-08-11
Business Address
-- ERIC MOLDESTAD MD
2020 PALOMINO LANE STE 100
LAS VEGAS, NV 89106-4894
Phone number: 702-759-8600
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Mailing Address
-- ERIC MOLDESTAD MD
2020 PALOMINO LANE STE 100
LAS VEGAS, NV 89106-4894
Phone number: 702-759-8600
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