Individual
JIMVER VILLADOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 SHADOW LN STE 400, LAS VEGAS, NV 89106-4159
(702) 477-6571
Mailing address
5960 BALSAM PINE DR, LAS VEGAS, NV 89142-1671
(702) 336-7968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO3773
NV
208D00000X
General Practice Physician
Primary
DO3773
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2022
Last updated
03/04/2025
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