Individual
JASON MICHAEL SMUCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 853-3561
(702) 563-3474
Mailing address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 563-3474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3326
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2019
Last updated
05/05/2023
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