Individual
DUSTIN BANAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6655 S CIMARRON RD STE 100, LAS VEGAS, NV 89113-2181
(702) 853-3578
Mailing address
6655 S CIMARRON RD STE 100, LAS VEGAS, NV 89113-2181
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SL2196
NV
Other
Enumeration date
05/09/2024
Last updated
11/23/2024
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