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Individual

JULIE TUGGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4475 S EASTERN, LAS VEGAS, NV 89119
(702) 737-1880
(702) 737-5988
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 737-1880
(702) 737-5988

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5922
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467425942
NV
05
2002462
NV
05
3102462
NV
Enumeration date
02/07/2006
Last updated
02/14/2014
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