Individual
JONATHAN C REBOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
821 N NELLIS BLVD, LAS VEGAS, NV 89110-5339
(702) 438-4003
(702) 438-0555
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7569
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780603308
—
NV
01
—
7569
STATE LICENSE
NV
Enumeration date
07/18/2006
Last updated
10/19/2022
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