Basic Information
| Provider Information | |||||||||
| NPI: | 1861804148 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANCIS | ||||||||
| FirstName: | SAMUAL | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3730 S EASTERN AVE | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891693321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029523400 | ||||||||
| FaxNumber: | 7029523364 | ||||||||
| Practice Location | |||||||||
| Address1: | 3730 S EASTERN AVE | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029523400 | ||||||||
| FaxNumber: | 7029523713 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2014 | ||||||||
| LastUpdateDate: | 06/15/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | 9538369-1205 | UT | N | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 2085R0001X | 18820 | NV | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.