Individual
KAREN BROTARLO BURGUILLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4100 W FLAMINGO RD STE 2100, LAS VEGAS, NV 89103-3926
(702) 822-5000
(702) 822-5001
Mailing address
10011 BLAIRWOOD CT, LAS VEGAS, NV 89178-4830
(702) 858-8615
(702) 822-5001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA765
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2402212
—
NV
05
—
3102202
—
NV
Enumeration date
02/08/2006
Last updated
01/12/2009
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