Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 5672 | NV |
NPI | 1326269259 |
---|---|
Provider Name | Dr. Julio L. Garcia |
First Address | Las Vegas, NV 89148-5621 |
Second Address | Las Vegas, NV 89148-5621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 25/09/2020 |