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Organization

JAYMES D. GRANATA, MD PLLC

Active
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Organization

JAYMES D. GRANATA, MD PLLC

Active
Other names
Battle Born Bone & Joint Center
Organization subpart
No

Provider details

NPI number
Authorized official
JAYMES GRANATA MD (OWNER)
(702) 944-0375
Entity
Organization

Contact information

Practice address
7455 W WASHINGTON AVE STE 460, LAS VEGAS, NV 89128-4338
(702) 765-0884
(702) 765-0862
Mailing address
7455 W WASHINGTON AVE STE 460, LAS VEGAS, NV 89128-4338
(702) 765-0884
(702) 765-0862

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
213E00000X
Podiatrist
213ES0103X
Foot & Ankle Surgery Podiatrist
225100000X
Physical Therapist
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15569
LICENSE
NV
Enumeration date
01/25/2018
Last updated
03/07/2018
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