Individual
MARIO TROY BROGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(775) 990-9211
Mailing address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(775) 990-9211
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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