Provider Demographics
NPI:1265524367
Name:SCHREIBER, SAUL E (DO)
Entity type:Individual
Prefix:
First Name:SAUL
Middle Name:E
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 E DESERT INN RD
Mailing Address - Street 2:#103
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169
Mailing Address - Country:US
Mailing Address - Phone:702-734-8511
Mailing Address - Fax:702-734-6323
Practice Address - Street 1:1700 E DESERT INN RD
Practice Address - Street 2:#103
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169
Practice Address - Country:US
Practice Address - Phone:702-734-8511
Practice Address - Fax:702-734-6323
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV323207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E82109Medicare UPIN
NV38900Medicare PIN