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Organization
JONATHAN C REBOTON MD LTD
Active
Organization
JONATHAN C REBOTON MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN C REBOTON MD (PRESIDENT)
(702) 307-8618
Entity
Organization
Contact information
Practice address
1905 MCDANIEL ST, SUITE 101, NORTH LAS VEGAS, NV 89030-7169
(702) 307-8618
(702) 307-6819
Mailing address
1905 MCDANIEL ST, SUITE 101, NORTH LAS VEGAS, NV 89030-7169
(702) 307-8618
(702) 307-6819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7569
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018170
—
NV
Enumeration date
02/09/2007
Last updated
05/21/2015
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