Individual
JONATHAN NEUHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(702) 838-1456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA768
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932270154
—
NV
Enumeration date
11/10/2006
Last updated
10/23/2025
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