| John G Waite Md Llc | |
|
4760 S Pecos Rd Ste 104 Las Vegas NV 89121-5828 | |
| (702) 434-5114 | |
| Not Available |
| Full Name | John G Waite Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4760 S Pecos Rd Ste 104, Las Vegas, Nevada |
| Authorized Official Name and Position | Jennifer Miller-hooks (CREDENTIALER) |
| Authorized Official Contact | 7023357376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John G Waite Md Llc 4760 S Pecos Rd # 27 Las Vegas NV 89121-6038 Ph: (702) 335-7376 | John G Waite Md Llc 4760 S Pecos Rd Ste 104 Las Vegas NV 89121-5828 Ph: (702) 434-5114 |
| NPI Number | 1538646955 |
|---|---|
| Provider Enumeration Date | 07/27/2018 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538646955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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