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Organization

BRIAN CITRO MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA LEE (CONSULTANT)
(702) 798-3008
Entity
Organization

Contact information

Practice address
3150 N TENAYA WAY, SUITE 550, LAS VEGAS, NV 89128-0443
(702) 648-9400
(702) 636-0249
Mailing address
PO BOX 50204, HENDERSON, NV 89016-0204
(702) 648-9400
(702) 636-0249

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11968
NV

Other

Enumeration date
08/22/2006
Last updated
08/04/2014
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