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Individual

SIMON GRAY LOOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-S

Contact information

Practice address
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191-6600
(702) 652-6011
Mailing address
2110 STONE WELL RD, NORTH LAS VEGAS, NV 89031-3892
(361) 772-8488

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/01/2025
Last updated
04/01/2025
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