Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 3583 | NV |
NPI | 1013422088 |
---|---|
Provider Name | Karlo B Arciaga |
First Address | Las Vegas, NV 89148-2404 |
Second Address | Las Vegas, NV 89148-2404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2017 |
Last Update Date | 17/03/2018 |