Organization
BHUSHAN MANJOORAN WIRJO & ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WIRJO MD (MANAGER)
(702) 417-4091
Entity
Organization
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(702) 417-4091
(702) 527-7545
Mailing address
PO BOX 371598, LAS VEGAS, NV 89137-1598
(702) 417-4091
(702) 527-7545
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
12371
NV
2084P0800X
Psychiatry Physician
Primary
DO1716
NV
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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