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Individual

DR. JEFFERSON C YU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 207-8263
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 207-8263
(702) 965-4581

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13594
NV
208M00000X
Hospitalist Physician
13594
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100500484 MEDICAID
NV
Enumeration date
07/10/2007
Last updated
10/30/2024
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