person
Ethan Milton Cruvant, MD
General Practice Physician in Las Vegas, Nevada
NPI 1740287192

Ethan Milton Cruvant is a General Practice Physician based in Las Vegas, NV. Ethan Milton Cruvant practices in Las Vegas, NV and has the professional credentials of MD. The NPI Number for Ethan Milton Cruvant is 1740287192 and holds a License No. 5854 (Nevada).

The current practice location address for Ethan Milton Cruvant is 8205 W. Warm Springs Rd., Las Vegas, NV and can be reached out via phone at 702-735-8734 and via fax at 702-735-2726. You can also correspond with Ethan Milton Cruvant through the mailing address at 8205 W. WARM SPRINGS RD., LAS VEGAS, NV - 89113-3612 (mailing address contact number: 702-735-8734).

Location: 8205 W. Warm Springs Rd., Las Vegas, NV, 89113-3612
person
Provider Profile Details
NPI Number
1740287192
Provider Name
Ethan Milton Cruvant
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8205 W. Warm Springs Rd., Las Vegas, NV, 89113-3612
Phone Number
702-735-8734
Fax Number
702-735-2726
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002019008 05 NV
110227382 01 RAILROAD MEDICARE
880344806A002 01 TRIWEST
institution
Provider Business Practice Location Address Details
Address
8205 W. Warm Springs Rd.
City
State
Zip
89113
Phone Number
702-735-8734
Fax Number
702-735-2726
person
Provider Business Mailing Address Details
Address
8205 W. Warm Springs Rd.
City
State
Zip
89113-3612
Phone Number
702-735-8734
Fax Number
702-735-2726
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5854 (Nevada)
Definition
Definition to come...
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