Individual
DR. JAYMES D GRANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10105 BANBURRY CROSS DR STE 445, LAS VEGAS, NV 89144-6645
(702) 765-0884
Mailing address
10105 BANBURRY CROSS DR STE 445, LAS VEGAS, NV 89144-6645
(702) 765-0884
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
15569
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073720678
—
NV
Enumeration date
05/16/2007
Last updated
03/17/2021
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