Individual
JOHN J KASTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 WIGWAM PKWY, #330, HENDERSON, NV 89074-8194
(702) 878-0393
(702) 933-0633
Mailing address
7455 W WASHINGTON AVE, STE 160, LAS VEGAS, NV 89128-4356
(702) 878-0393
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
12909
NV
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD041982L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279524800
—
FL
01
—
68052
BCBS
FL
01
—
P00451374
RAILROAD MEDICARE
FL
Enumeration date
08/21/2006
Last updated
01/28/2016
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