NPI 1104998137 · live from the CMS NPI Registry
Daniel Spencer Madsen, MD
Radiology, Diagnostic Radiology in Las Vegas, NV. National Provider Identifier 1104998137, active.
NPI record
| NPI | 1104998137 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 4700 Las Vegas Blvd N, Las Vegas, NV 89191 |
| Practice phone | 702-653-2840 |
| Mailing address | 2265 E Sunnyside Rd, Idaho Falls, ID 83404 |
| Enumerated | November 14, 2006 |
| Last updated | March 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 5384574-1205 (UT) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | M14927 (ID) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | MED-PHYS-LIC-80205 (MT) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 12595A (WY) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 37113 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.