Jonathan C Reboton Md Ltd | |
1905 Mcdaniel St Suite 101 North Las Vegas NV 89030-7169 | |
(702) 307-8618 | |
(702) 307-6819 |
Full Name | Jonathan C Reboton Md Ltd |
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Speciality | Family Medicine |
Location | 1905 Mcdaniel St, North Las Vegas, Nevada |
Authorized Official Name and Position | Jonathan C Reboton (PRESIDENT) |
Authorized Official Contact | 7023078618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jonathan C Reboton Md Ltd 1905 Mcdaniel St Suite 101 North Las Vegas NV 89030-7169 Ph: (702) 307-8618 | Jonathan C Reboton Md Ltd 1905 Mcdaniel St Suite 101 North Las Vegas NV 89030-7169 Ph: (702) 307-8618 |
NPI Number | 1639210974 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 05/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639210974 | NPI | - | NPPES |
002018170 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7569 (Nevada) | Primary |
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