Provider Demographics
NPI:1912920604
Name:MUIR, WILLIAM S (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:MUIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:653 N TOWN CENTER DR
Mailing Address - Street 2:210
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0514
Mailing Address - Country:US
Mailing Address - Phone:702-254-3020
Mailing Address - Fax:702-255-2620
Practice Address - Street 1:653 N TOWN CENTER DR
Practice Address - Street 2:210
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0514
Practice Address - Country:US
Practice Address - Phone:702-254-3020
Practice Address - Fax:702-255-2620
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV11685207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002084150Medicaid
NV002084150Medicaid
NVV104258Medicare PIN