Individual
JUAN E WANTIG AZCARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8352 W WARM SPRINGS RD STE 210, LAS VEGAS, NV 89113-3630
(702) 944-4028
(702) 944-4019
Mailing address
8352 W WARM SPRINGS RD STE 210, LAS VEGAS, NV 89113-3630
(702) 944-4028
(702) 944-4019
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17337
NV
Other
Enumeration date
02/25/2015
Last updated
06/16/2020
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