Provider Demographics
NPI:1578687661
Name:HSIUNG, ROGER WEIBAR (MD)
Entity Type:Individual
Prefix:MR
First Name:ROGER
Middle Name:WEIBAR
Last Name:HSIUNG
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:6080 S. DURANGO
Mailing Address - Street 2:SUITE #105
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113
Mailing Address - Country:US
Mailing Address - Phone:702-586-6688
Mailing Address - Fax:702-586-9988
Practice Address - Street 1:6080 S. DURANGO
Practice Address - Street 2:SUITE #105
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113
Practice Address - Country:US
Practice Address - Phone:702-586-6688
Practice Address - Fax:702-586-9988
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVLL1438208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVLL1438OtherMEDICAL LICENSE
NVASO2532198858OtherDEA CERTIFICATE