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Individual

DR. CASIANO R FLAVIANO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10001 S EASTERN AVE, STE 210, HENDERSON, NV 89052-3907
(702) 837-4397
(702) 837-7426
Mailing address
PO BOX 531465, HENDERSON, NV 89053-1465
(702) 837-4397
(702) 837-7426

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036087256
IL
208100000X
Physical Medicine & Rehabilitation Physician
9976
NV
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
036087256
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
9976
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002018715
NV
Enumeration date
05/27/2005
Last updated
02/04/2010
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