Individual
DOMINIC J. LAROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2350 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-5075
(702) 564-8556
(702) 564-4485
Mailing address
2350 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-5075
(702) 564-8556
(702) 564-4485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
364
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002402360
—
NV
Enumeration date
09/25/2006
Last updated
12/11/2013
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