Organization
EZUGHA PEDIATRIC NEUROLOGY AND ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT EZUGHA MD (OWNER)
(407) 775-5035
Entity
Organization
Contact information
Practice address
2500 WIGWAM PKWY STE 111, HENDERSON, NV 89074-7113
(702) 852-1155
Mailing address
2500 WIGWAM PKWY STE 111, HENDERSON, NV 89074-7113
(702) 852-1155
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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