Individual
MR. CALVIN FREDERICK PANIAGUA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5891 E CHARLESTON BLVD, SUITE 150, LAS VEGAS, NV 89142-1050
(725) 777-3120
(725) 777-3119
Mailing address
PO BOX 270662, LAS VEGAS, NV 89127-4662
(702) 823-3813
(725) 777-3119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0003911
CO
363A00000X
Physician Assistant
17465
CA
363A00000X
Physician Assistant
3024
AZ
363A00000X
Physician Assistant
5601004343
MI
363A00000X
Physician Assistant
Primary
PA1021
NV
Other
Enumeration date
09/15/2006
Last updated
04/04/2017
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