Organization
EZUGHA PEDIATRIC NEUROLOGY AND ASSOCIATES PC
Active
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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