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Organization

JACK ANSTANDIG MD PROFESSIONAL CORPORATION

Active
Other names
BodyLogicMD of Las vegas
Organization subpart
No

Provider details

NPI number
Authorized official
JACK ANSTANDIG M.D. (DIRECTOR)
(866) 972-5182
Entity
Organization

Contact information

Practice address
8475 S EASTERN AVE, SUITE 202, LAS VEGAS, NV 89123-2862
(866) 972-5182
(866) 972-5183
Mailing address
8475 S EASTERN AVE, SUITE 202, LAS VEGAS, NV 89123-2862
(866) 972-5182
(866) 972-5183

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13232
NV

Other

Enumeration date
09/04/2009
Last updated
09/04/2009
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