Dr. Jeremy Anderson, D.O.
Surgery, Surgical Critical Care in Las Vegas, NV. Individual provider (NPI-1).
NPI number1457732760
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1457732760
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeremy Anderson
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2015
- Certification date
- Apr 12, 2022
- Last updated
- Apr 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0102X | Surgery, Surgical Critical Care | DO2732 | NV | Yes |
| 208600000X | Surgery | DO2732 | NV | |
| 2086S0127X | Surgery, Trauma Surgery | DO2732 | NV | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1707 W Charleston Blvd Ste 160Las Vegas, NV 89102-2354
Phone 702-671-5150 · Fax 702-384-6493
Mailing address
3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973
Phone 702-780-7118
Other practice locations
1 Medical Center Dr Ste 162
Stratford, NJ 08084-1500
Stratford, NJ 08084-1500
Phone 856-566-6708
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