Individual
DR. JONATHAN WIRJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8950 W TROPICANA AVE STE 1, LAS VEGAS, NV 89147-8138
(702) 790-2701
(702) 790-2706
Mailing address
660 S GREEN VALLEY PKWY STE 140, HENDERSON, NV 89052-0431
(702) 790-2701
(702) 790-2706
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO1716
NV
Other
Enumeration date
06/26/2008
Last updated
04/10/2024
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