Individual
JEREMEY DWAYNE STURGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3900 CAMBRIDGE ST STE 102, LAS VEGAS, NV 89119-7440
(702) 307-5415
(702) 307-5416
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(775) 888-6610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2495
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2495
NV PA LICENSE
NV
Enumeration date
03/19/2012
Last updated
09/23/2021
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