Provider Demographics
NPI:1003130386
Name:VICTOR KLAUSNER, DO, PC
Entity Type:Organization
Organization Name:VICTOR KLAUSNER, DO, PC
Other - Org Name:CENTER FOR OCCUPATIONAL HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEENAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-474-0472
Mailing Address - Street 1:801 S RANCHO DR
Mailing Address - Street 2:STE F1
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3854
Mailing Address - Country:US
Mailing Address - Phone:702-474-4454
Mailing Address - Fax:702-474-4424
Practice Address - Street 1:9005 S PECOS RD
Practice Address - Street 2:STE 2610
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7190
Practice Address - Country:US
Practice Address - Phone:702-474-0472
Practice Address - Fax:702-474-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV960207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty