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Organization

NOVATIO, PLLC

Active
Parent organization
NOVATIO, PLLC
Other names
Novatio
Organization subpart
Yes

Provider details

NPI number
Legal business name
NOVATIO, PLLC
Authorized official
ELENA CROCKETT (EXECUTIVE ASSISTANT)
(702) 984-7557
Entity
Organization

Contact information

Practice address
6080 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5616
(702) 984-7557
Mailing address
6080 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5616
(702) 702-9847
(833) 989-2328

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
12/11/2020
Last updated
05/26/2021
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