Search › Nevada › 251S00000X
Elegio Bantilan
NPI 1720573801 · on the registry since 2018 · sole proprietor
Practice
- Address
- 525 E Bonanza Rd
Las Vegas, NV 89101 - Phone
- (702) 947-4449
- Organisation at this address
- United States Veterans Initiative - Las Vegas
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 251S00000X
251S00000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada