Individual
DR. JOHN M MENEZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 W CHARLESTON BLVD, #190, PLASTIC SURGERY CLINIC, LAS VEGAS, NV 89102-2351
(702) 671-5110
(702) 684-6592
Mailing address
3016 W CHARLESTON BLVD, STE 100, CREDENTIALING DEPARTMENT, LAS VEGAS, NV 89102-1973
(702) 780-2311
(702) 671-6430
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
10200
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018698
—
NV
01
—
CS11260
PHARMACY/CDS
NV
Enumeration date
01/04/2006
Last updated
03/07/2023
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