Fremont Primary Care - Endocrinology

NPI #1295712693 in Las Vegas, Nevada

Provider Information

NPI Number: 1295712693
Entity Type: Organization
Organization Name: Fremont Primary Care - Endocrinology
Primary Specialty: Dietitian, Registered - Nutrition, Metabolic
Enumeration Date: Dec 27, 2005
Last Updated: Sep 11, 2025

Practice Location

Address: 4880 WYNN RD
City: Las Vegas
State: Nevada
ZIP Code: 89103-5406
Phone: (702) 362-3422

Authorized Official

Name: JON GREG GRIFFIN
Title: CEO
Phone: (702) 671-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Nurse Practitioner	363L00000X
Dietitian, Registered - Nutrition, Metabolic — Nutrition, Metabolic	133VN1006X	Primary

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