Individual
JIONG SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 W BONNEVILLE AVE, LAS VEGAS, NV 89106-0100
(702) 483-6000
(702) 483-6028
Mailing address
888 W BONNEVILLE AVE, LAS VEGAS, NV 89106-0100
(702) 483-6000
(702) 483-6028
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19627
NV
2084N0400X
Neurology Physician
32837
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
865800
—
AZ
Enumeration date
08/25/2006
Last updated
01/24/2022
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