Organization
NOVERO NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY JOHN N NOVERO (OWNER)
(702) 685-8392
Entity
Organization
Contact information
Practice address
3150 N TENAYA WAY, SUITE 555, LAS VEGAS, NV 89128-0443
(702) 685-8392
(702) 475-5219
Mailing address
3150 N TENAYA WAY, SUITE 555, LAS VEGAS, NV 89128-0443
(702) 685-8392
(702) 475-5219
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12848
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386953842
—
NV
Enumeration date
10/01/2010
Last updated
11/18/2011
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