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Organization

POKROY MEDICAL GROUP OF NEVADA, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTINA H DEETER MD (PRESIDENT, DIRECTOR)
(800) 243-3839
Entity
Organization

Contact information

Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 961-2000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2080N0001X
Neonatal-Perinatal Medicine Physician
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
2080P0203X
Pediatric Critical Care Medicine Physician
2080P0205X
Pediatric Endocrinology Physician
2080P0208X
Pediatric Infectious Diseases Physician
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
04/18/2023
Last updated
04/18/2023
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