Organization
JAGANNATH S. SURPURE, M.D.P.C.
Active
Other names
Children's Urgent Care & Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGANNATH S. SURPURE M.D. (MEDICAL DIRECTOR)
(702) 898-6400
Entity
Organization
Contact information
Practice address
1600 W SUNSET RD, SUITE A, HENDERSON, NV 89014-2654
(702) 898-6400
(702) 898-7032
Mailing address
1600 W SUNSET RD, SUITE A, HENDERSON, NV 89014-2654
(702) 898-6400
(702) 898-7032
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6591
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019436
—
NV
05
—
3102430
—
NV
Enumeration date
02/08/2007
Last updated
08/22/2020
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