Organization
JOHN G WAITE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JENNIFER MILLER-HOOKS (CREDENTIALER)
(702) 335-7376
Entity
Organization
Contact information
Practice address
4760 S PECOS RD STE 104, LAS VEGAS, NV 89121-5828
(702) 434-5114
Mailing address
4760 S PECOS RD # 27, LAS VEGAS, NV 89121-6038
(702) 335-7376
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/22/2020
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