Organization
LUKE V. DESJARLAIS, PLLC
Active
Organization
LUKE V. DESJARLAIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE V DESJARLAIS PAC (CEO)
(702) 415-3463
Entity
Organization
Contact information
Practice address
9035 WESTCHESTER HILL AVE, LAS VEGAS, NV 89148-4926
(702) 415-3463
Mailing address
9035 WESTCHESTER HILL AVE, LAS VEGAS, NV 89148-4926
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1333
NV
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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