Individual
DAVID DIJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1524 PINTO LN FL 3, LAS VEGAS, NV 89106-4195
(702) 992-6868
Mailing address
3016 W CHARLESTON BLVD STE 205, LAS VEGAS, NV 89102-1963
(702) 780-2311
(702) 895-4014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15067
NV
208000000X
Pediatrics Physician
156788
NY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
156788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01454342
—
NY
01
—
15067
NV MEDICAL LICENSE
NV
05
—
1699722819
—
NV
Enumeration date
05/31/2006
Last updated
02/06/2019
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