Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY MAX DESHAZO, DO
Active Sole ProprietorFamily Medicine · LAS VEGAS, NV
Registration Details
- NPI Number
- 1568512101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.270926231599 yrs)
- Last Updated
- Feb 17, 2022
- Licenses
-
380 (NV)380 (NV)380 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2901 N TENAYA WAY STE 100LAS VEGAS, NV, 891281404Browse NV providers · Browse ZIP 89128
- Phone
- 7028708852
- Fax
- 7028708914
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Community Health Center
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| EARL K PLUNKETT | M.D. | 1225031792 |
| DENISE ANN DAVIS | M.D. | 1851394373 |
| DR. NICOLE R. FLORA | MD | 1275538126 |
| DR. DONALD KENNETH PENNELLE | M.D. | 1093710733 |
| LESLIE FARBER | M.D. | 1730184276 |
| HARRY S STROTHERS III | MD | 1861492720 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.