Jeffrey Loren Johnson in Las Vegas - Pediatric Radiology

Jeffrey Loren Johnson - NPI 1790763837

Jeffrey Loren Johnson is a Pediatric Radiology in Las Vegas, Nevada. Jeffrey Loren Johnson practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Jeffrey Loren Johnson is 1790763837. The last update date is 2008-02-21.

Jeffrey Loren Johnson's current location address is 4101 Wagon Trail Ave, Las Vegas, Nevada. You can contact this provider via phone number 7029424123 and fax number 7029424124. The mailing address for Jeffrey Loren Johnson is 4101 Wagon Trail Ave, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Loren Johnson
Address 4101 Wagon Trail Ave, Las Vegas, Nevada
Phone Number 7029424123
Fax Number 7029424124
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1790763837
Provider Enumeration Date 2006-01-09
Last Updated Date 2008-02-21

Provider Mailing Address Detail

Address 4101 Wagon Trail Ave
City Las Vegas
State Nevada (NV)
Post Code 891184426
Phone Number 7029424123
Fax Number 7029424124

Provider's Primary Taxonomy Detail

Speciality Pediatric Radiology
Taxonomy 2085P0229X
Licence No 7412
Definition:
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NV7306 NV BLUE
2019713 NV --

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FAQs about Jeffrey Loren Johnson

What is the unique identifier code issued to Jeffrey Loren Johnson by the Centers for Medicare & Medicaid Services (CMS)?

The Jeffrey Loren Johnson has been assigned the NPI (National Provider Identifier) 1790763837. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jeffrey Loren Johnson?

The Jeffrey Loren Johnson is physically situated at 4101 Wagon Trail Ave, in the city of Las Vegas, state of NV, with the postal code 891184426.

What is Jeffrey Loren Johnson's area of expertise and its corresponding taxonomy classification?

The Jeffrey Loren Johnson's field of specialization is Pediatric Radiology, and it falls under the taxonomy code 2085P0229X, which categorizes healthcare providers based on their areas of practice.

When was the Jeffrey Loren Johnson's 1790763837 issued?

The Jeffrey Loren Johnson's 1790763837 was issued on 2006-01-09.

As of what date was the information pertaining to Jeffrey Loren Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffrey Loren Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-21.

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