Provider Demographics
NPI:1134289762
Name:SAMLASKA, CURT (LTD)
Entity type:Individual
Prefix:
First Name:CURT
Middle Name:
Last Name:SAMLASKA
Suffix:
Gender:M
Credentials:LTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 ST ROSE PKWY
Mailing Address - Street 2:SUITE #100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4849
Mailing Address - Country:US
Mailing Address - Phone:702-837-8988
Mailing Address - Fax:702-990-5269
Practice Address - Street 1:2839 ST ROSE PKWY
Practice Address - Street 2:SUITE #100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-837-8988
Practice Address - Fax:702-990-5269
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV7891207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV30827Medicare PIN
G40405Medicare UPIN