Organization
JONATHAN BERNSTEIN, M.D., LTD
Active
Other names
Children's Specialty Center of Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE LOGAN (PRESIDENT)
(702) 732-0232
Entity
Organization
Contact information
Practice address
3121 S MARYLAND PKWY, SUITE 216, LAS VEGAS, NV 89109-2307
(702) 732-1493
(702) 732-1080
Mailing address
3121 S MARYLAND PKWY, SUITE 220, LAS VEGAS, NV 89109-2307
(702) 732-1493
(702) 732-1080
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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