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Individual

JASON N ZOMMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5701 W. CHARLESTON BLVD, SUITE 201, LAS VEGAS, NV 89146
(702) 877-0814
(702) 877-3238
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-0817
(702) 877-3238

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9752
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002018467
NV
01
340020382
RAILROAD MEDICARE PIN
Enumeration date
06/25/2006
Last updated
03/07/2014
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