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1215977038
WALTER M KIDWELL
LAS VEGAS, NV
NPI
1215977038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0014X Pain Medicine Interventional Pain Medicine
(Licence: NV 9263)
Enumeration Date
2006-06-08
Last Update Date
2019-06-12
Business Address
WALTER M KIDWELL MD
7435 W AZURE DR STE 190
LAS VEGAS, NV 89130-4427
Phone number: 702-788-5252
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Mailing Address
WALTER M KIDWELL MD
4045 S BUFFALO DR A101-172
LAS VEGAS, NV 89147-7479
Phone number: 702-878-8252
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