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Jefferson Detrick
NPI 1548619505 · on the registry since 2016
Practice
- Address
- 5021 Alta Dr
Las Vegas, NV 89107 - Phone
- (702) 816-2595
- Fax
- (702) 816-2574
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Male
- Record last updated
- 2016-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada