Individual
TYLER JASON COLUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-4000
Mailing address
732 SANDY HOOK TER, HENDERSON, NV 89052-5201
(909) 292-5083
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
SL2339
NV
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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