Provider Demographics
NPI:1154633808
Name:RITTER, AARON R (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:R
Last Name:RITTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 W BONNEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-0100
Mailing Address - Country:US
Mailing Address - Phone:702-701-7981
Mailing Address - Fax:702-483-6039
Practice Address - Street 1:888 W BONNEVILLE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-0100
Practice Address - Country:US
Practice Address - Phone:702-701-7981
Practice Address - Fax:702-483-6039
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV153962084P0800X
AZR722822080T0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080T0002XAllopathic & Osteopathic PhysiciansPediatricsMedical Toxicology
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry