Organization
PETAR JAMBORCIC, MD, A PROFESSIONAL CORPORATION
Active
Organization
PETAR JAMBORCIC, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYN M RODRIGUEZ MD (OWNER)
(323) 213-5884
Entity
Organization
Contact information
Practice address
8285 W ARBY AVE STE 390, LAS VEGAS, NV 89113-2237
(702) 614-1250
Mailing address
8285 W ARBY AVE STE 390, LAS VEGAS, NV 89113-2237
(702) 614-1250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14006
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942357017
—
NV
Enumeration date
01/04/2007
Last updated
07/25/2016
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