Organization
INNOTIV GERMIN
Active
Other names
Clinical Neurology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO GERMIN M.D. (MEDICAL DIRECTOR)
(702) 804-1212
Entity
Organization
Contact information
Practice address
1691 W HORIZON RIDGE PKWY, #100, HENDERSON, NV 89012-3494
(702) 804-1212
(702) 804-1222
Mailing address
PO BOX 530786, HENDERSON, NV 89053-0786
(702) 804-1212
(702) 804-1222
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
7866
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019758
—
NV
Enumeration date
11/16/2006
Last updated
01/20/2016
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