Organization
ANSON PROFESSIONAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANSON MD (SOLE MEMBER)
(800) 310-7334
Entity
Organization
Contact information
Practice address
5068 SPANISH HEIGHTS DR, LAS VEGAS, NV 89148-1408
(800) 310-7334
Mailing address
DEPT 880283 PO BOX 29650, PHOENIX, AZ 85038-9650
(800) 310-7334
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
8076
NV
Other
Enumeration date
07/23/2018
Last updated
04/10/2019
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