Individual
MARK JUHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1661 LUCERNE ST, MINDEN, NV 89423-4381
(775) 782-0700
(775) 782-0500
Mailing address
1661 LUCERNE ST, MINDEN, NV 89423-4381
(775) 782-0700
(775) 782-0500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
162860
CA
207N00000X
Dermatology Physician
Primary
20876
NV
207ND0101X
MOHS-Micrographic Surgery Physician
162860
CA
207NS0135X
Procedural Dermatology Physician
162860
CA
Other
Enumeration date
03/27/2015
Last updated
07/19/2024
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