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1730852021
MALCOLM DOUGLAS
LAS VEGAS, NV
NPI
1730852021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-08-01
Last Update Date
2024-05-01
Business Address
MALCOLM DOUGLAS PA
1524 PINTO LN FL 2
LAS VEGAS, NV 89106-4195
Phone number: 702-992-6888
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Mailing Address
MALCOLM DOUGLAS PA
3016 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102-1973
Phone number: 702-405-6503
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