Garduno, Javier Ismael

Garduno, Javier Ismael is an individual health care provider with primary practice located at 4750 W Oakey Blvd Ste 3A , Las Vegas NV 89102-1535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Garduno, Javier Ismael can be contacted via phone (702) 877-5319.

Contact Information

Primary practice address
4750 W Oakey Blvd Ste 3A Las Vegas NV 89102-1535
Phone: (702) 877-5319
Fax: (702) 259-0128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 15440 Nevada

Profile Details

NPI number 1720141120
LBN Legal business name Garduno, Javier Ismael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720141120 NPPES
Nevada MEDICAID 1720141120

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