Individual
MR. JEROMY RON MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1301 BERTHA HOWE AVE, SUITE 1, MESQUITE, NV 89027-7502
(435) 628-9393
(435) 628-9382
Mailing address
3175 SAINT ROSE PKWY 320, HENDERSON, NV 89052-3508
(702) 997-9844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7106674-1206
UT
363A00000X
Physician Assistant
Primary
PA1131
NV
363AS0400X
Surgical Physician Assistant
7106674-1206
UT
363AS0400X
Surgical Physician Assistant
PA1131
NV
Other
Enumeration date
07/15/2008
Last updated
08/06/2024
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