MALCOLM DOUGLAS

NELLIS AFB, NV
NPI1730852021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NV  PA2613)
Enumeration Date2021-08-01
Last Update Date2026-07-17
Business Address
MALCOLM DOUGLAS PA
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
Mailing Address
MALCOLM DOUGLAS PA
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273