Provider Demographics
NPI:1578547303
Name:FRANK J DELEE MD
Entity Type:Organization
Organization Name:FRANK J DELEE MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER SOLO PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DELEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-388-9655
Mailing Address - Street 1:700 SHADOW LN
Mailing Address - Street 2:# 330
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4159
Mailing Address - Country:US
Mailing Address - Phone:702-388-9655
Mailing Address - Fax:702-388-9339
Practice Address - Street 1:700 SHADOW LN
Practice Address - Street 2:# 330
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4159
Practice Address - Country:US
Practice Address - Phone:702-388-9655
Practice Address - Fax:702-388-9339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4126207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C95956Medicare UPIN