Provider Demographics
NPI:1134394075
Name:KLAUSNER, VICTOR BENJAMIN (DO)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:BENJAMIN
Last Name:KLAUSNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:801 S RANCHO DR
Mailing Address - Street 2:STE F-1
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3854
Mailing Address - Country:US
Mailing Address - Phone:702-474-4454
Mailing Address - Fax:702-474-7111
Practice Address - Street 1:801 S RANCHO DR
Practice Address - Street 2:STE F-1
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3854
Practice Address - Country:US
Practice Address - Phone:702-474-4454
Practice Address - Fax:702-474-7111
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV960207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV08888Medicare UPIN