NPI | 1942894993 |
---|---|
Doing Business As | JABEZ MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JULIAN THEODORE BERNARDO Practice Manager 702-302-6587 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2021-02-21 |
Last Update Date | 2021-02-21 |