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Organization

FRONTIER MEDICAL & BEHAVIORAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEROME NWANNA NWOKIKE M.D. (OWNER)
(702) 750-2438
Entity
Organization

Contact information

Practice address
5105 CAMINO AL NORTE, SUITE 100, NORTH LAS VEGAS, NV 89031-2373
(702) 750-2438
(702) 750-2173
Mailing address
5105 CAMINO AL NORTE, SUITE 100, NORTH LAS VEGAS, NV 89031-2373
(702) 750-2438
(702) 750-2173

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2084F0202X
Forensic Psychiatry Physician
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
09/03/2014
Last updated
09/27/2016
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