Organization
DYNAMIC MEDICAL GROUP LLC
Active
Organization
DYNAMIC MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ERFE RN (ADMINISTRATOR)
(702) 704-9611
Entity
Organization
Contact information
Practice address
3841 W CHARLESTON BLVD STE 202, LAS VEGAS, NV 89102-1858
(702) 623-7990
(702) 623-5033
Mailing address
3841 W CHARLESTON BLVD STE 202, LAS VEGAS, NV 89102-1858
(702) 623-7990
(702) 623-5033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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