| Justin W Edwards, Pllc | |
|
6053 S Fort Apache Rd Ste 120 Las Vegas NV 89148-5577 | |
| (702) 704-3266 | |
| Not Available |
| Full Name | Justin W Edwards, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6053 S Fort Apache Rd Ste 120, Las Vegas, Nevada |
| Authorized Official Name and Position | Justin Wayne Edwards (OWNER) |
| Authorized Official Contact | 7027043266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin W Edwards, Pllc 6053 S Fort Apache Rd Ste 120 Las Vegas NV 89148-5577 Ph: (702) 704-3266 | Justin W Edwards, Pllc 6053 S Fort Apache Rd Ste 120 Las Vegas NV 89148-5577 Ph: (702) 704-3266 |
| NPI Number | 1720820574 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720820574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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