Organization
GERIATRIC MEDICAL ASSOCIATES OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE Y JEONG DO (PRESIDENT)
(702) 443-6054
Entity
Organization
Contact information
Practice address
9811 W CHARLESTON BLVD, SUITE# 2-304, LAS VEGAS, NV 89117-7528
(702) 464-7855
Mailing address
9811 W CHARLESTON BLVD, SUITE# 2-304, LAS VEGAS, NV 89117-7528
(702) 464-7855
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1024
NV
Other
Enumeration date
08/06/2008
Last updated
05/14/2024
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