Mark R Thomas Jr.
Specialist/Technologist, Other, Electroneurodiagnostic in Las Vegas, NV. Individual provider (NPI-1).
NPI number1760076582
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1760076582
- Entity type
- Individual (NPI-1)
- Name
- Mark R Thomas Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2021
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | Yes |
Practice location
7455 W Washington Ave Ste 302Las Vegas, NV 89128-4340
Phone 855-864-4322
Mailing address
7455 W Washington Ave Ste 302Las Vegas, NV 89128-4340
Phone 855-864-4322
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