Individual
DR. EDGARDO AVERION FAYLONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2149
(702) 724-8787
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
6872
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019348
—
NV
05
—
453457
—
AZ
01
—
830003909
RAILROAD MEDICARE
NV
Enumeration date
07/01/2005
Last updated
11/18/2024
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