Individual
DR. NOEL R FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 S MARYLAND PKWY, LAS VEGAS, NV 89119-7537
(702) 982-7240
(702) 952-5444
Mailing address
7315 S. PECOS ROAD, STE. 101, LAS VEGAS, NV 89120
(702) 982-7240
(702) 952-5444
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12053
NV
207RG0100X
Gastroenterology Physician
44964
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511073
—
NV
05
—
341790500
—
MN
Enumeration date
02/14/2006
Last updated
05/30/2024
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