Organization
DANILO JATAVATA MD
Active
Other names
Canyon Ridge Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DANILO JARAVATA MD (CEO)
(702) 487-6510
Entity
Organization
Contact information
Practice address
3153 E WARM SPRINGS RD, 300, LAS VEGAS, NV 89120-3141
(702) 487-6510
Mailing address
3153 E WARM SPRINGS RD, 300, LAS VEGAS, NV 89120-3141
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14725
NV
Other
Enumeration date
07/26/2013
Last updated
08/21/2014
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