Individual
DR. JEREMY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102-2354
(702) 671-5150
(702) 384-6493
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-7118
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DO2732
NV
2086S0102X
Surgical Critical Care Physician
Primary
DO2732
NV
2086S0127X
Trauma Surgery Physician
DO2732
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2015
Last updated
04/12/2022
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