TODD A RADIVAN

LAS VEGAS, NV
NPI1497757181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NV  PA-C57)
Enumeration Date2005-08-11
Last Update Date2015-07-27
Business Address
-- TODD A RADIVAN PA-C
888 S RANCHO DR
LAS VEGAS, NV 89106-3810
Phone number: 702-877-8600
Mailing Address
-- TODD A RADIVAN PA-C
PO BOX 15645
LAS VEGAS, NV 89114-5645
Phone number: 702-877-8600
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