Individual
DR. JERRY MAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 768-7300
Mailing address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 768-7300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A13945
CA
Other
Enumeration date
07/23/2006
Last updated
05/19/2015
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