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Individual

JAMES JUNGO WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147
Mailing address
7391 W CHARLESTON BLVD, SUITE 140, LAS VEGAS, NV 89117-1577
(702) 304-2144
(702) 304-2147

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.200298
LA
363AM0700X
Medical Physician Assistant
Primary
PA1289
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811292253
NV
Enumeration date
01/16/2011
Last updated
09/10/2013
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