Individual
JUSTIN PERSSON
Active
Individual
JUSTIN PERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
10700
SD
2084N0400X
Neurology Physician
DR.0058702
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2013
Last updated
07/18/2018
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