# MICHAEL'S INTEGRATED MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pahrump Spine and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982259040
- **Authorized official:** DR. MICHAEL A JONAK MD (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (775) 727-7959

## Contact information

- **Practice address:** 2780 HOMESTEAD RD STE 104, PAHRUMP, NV 89048-5464
- **Practice address phone:** (775) 727-7959
- **Practice address fax:** (775) 727-7960
- **Mailing address:** 2780 HOMESTEAD RD STE 105, PAHRUMP, NV 89048-5464
- **Mailing address phone:** (775) 727-7959
- **Mailing address fax:** (775) 727-7960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2019
- **Last updated:** 10/06/2020