Organization
BRAIN DYNAMICS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LUNA (OWNER)
(702) 267-8295
Entity
Organization
Contact information
Practice address
6565 SPENCER ST STE 102B, LAS VEGAS, NV 89119-3924
(702) 267-8295
Mailing address
6565 SPENCER ST STE 102B, LAS VEGAS, NV 89119-3924
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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