Provider Demographics
NPI:1538659396
Name:NAVARRO, CYBILL (DO)
Entity Type:Individual
Prefix:
First Name:CYBILL
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 W. CHARLESTON BLVD.
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:707-373-9985
Mailing Address - Fax:
Practice Address - Street 1:5785 CENTENNIAL CENTER BLVD. STE. 190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149
Practice Address - Country:US
Practice Address - Phone:702-383-6270
Practice Address - Fax:702-395-3023
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-16
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSL1365207Q00000X
NVDO2774207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine