Organization
NEUROGENIC MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASE JOHNSON (OWNER)
(725) 294-1701
Entity
Organization
Contact information
Practice address
5135 CAMINO AL NORTE STE 210, NORTH LAS VEGAS, NV 89031-2391
(725) 294-1701
Mailing address
5135 CAMINO AL NORTE STE 210, NORTH LAS VEGAS, NV 89031-2391
(725) 294-1701
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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