Individual
MR. JAY JOSEPH COLOGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA0241 OSTEOPATH
NV
363AM0700X
Medical Physician Assistant
Primary
PA836
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502960
—
NV
Enumeration date
03/09/2006
Last updated
01/09/2016
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