Individual
DR. GASTON R VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 SHADOW LN, SUITE 240, LAS VEGAS, NV 89106-4158
(702) 384-0022
(702) 384-0529
Mailing address
700 SHADOW LN, SUITE 240, LAS VEGAS, NV 89106-4158
(702) 384-0022
(702) 384-1937
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
14055
NV
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
14055
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100523913
—
NV
Enumeration date
10/05/2006
Last updated
09/26/2022
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