Individual
MR. JOSEPH GURULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MS
Contact information
Practice address
3880 S JONES BLVD, LAS VEGAS, NV 89103-2456
(702) 636-3000
(702) 636-4016
Mailing address
3880 S JONES BLVD, LAS VEGAS, NV 89103-2456
(702) 636-3000
(702) 636-4016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
311
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311
NV BOARD OF MED EXAMINERS
NV
01
—
NCCPA
NATIONAL CERTIFICATION
—
Enumeration date
04/27/2006
Last updated
07/12/2007
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