Individual
DR. JAVIER ISMAEL GARDUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4750 W OAKEY BLVD STE 3A, LAS VEGAS, NV 89102-1535
(702) 877-5319
(702) 259-0128
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
(702) 259-0128
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
15440
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720141120
—
NV
Enumeration date
12/18/2006
Last updated
03/08/2018
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