Individual
DR. EDSON ERKULVRAWATR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6950 W DESERT INN RD, STE 110, LAS VEGAS, NV 89117-3171
(702) 259-5550
(702) 259-5554
Mailing address
6950 W DESERT INN RD, STE 110, LAS VEGAS, NV 89117-3171
(702) 259-5550
(702) 259-5554
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
12262
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104448
MEDICARE PTAN
NV
Enumeration date
05/16/2007
Last updated
11/02/2007
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