Provider Demographics
NPI:1437179306
Name:STRAUSS, BRIAN L (MD, PHD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:L
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 SEVEN HILLS DR
Mailing Address - Street 2:APT 4421
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4314
Mailing Address - Country:US
Mailing Address - Phone:702-461-3010
Mailing Address - Fax:
Practice Address - Street 1:4230 BURNHAM AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5408
Practice Address - Country:US
Practice Address - Phone:702-733-3704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO108561207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology