Individual
DR. EDMUND REYES GOROZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10105 BANBURRY CROSS DR STE 170, LAS VEGAS, NV 89144
(702) 765-5437
Mailing address
12273 CATANZARO AVE APT A, LAS VEGAS, NV 89138-4625
(718) 866-8204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14909
NV
2080P0203X
Pediatric Critical Care Medicine Physician
244278-1
NY
2080P0203X
Pediatric Critical Care Medicine Physician
25MA08273000
NJ
Other
Enumeration date
12/28/2007
Last updated
08/30/2018
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