Individual
MR. JON F DEPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-4500
Mailing address
9941 LIBERTY VIEW RD, LAS VEGAS, NV 89148-5507
(702) 597-0083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA807
NV
Other
Enumeration date
05/25/2006
Last updated
01/02/2013
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