Jeaniene a Talley MD a Professional

NPI #1356528103 in N Las Vegas, Nevada

Provider Information

NPI Number
1356528103
Entity Type
Organization
Organization Name
Jeaniene a Talley MD a Professional
Primary Specialty
Family Medicine
Enumeration Date
Jan 23, 2008
Last Updated
Aug 2, 2021

Practice Location

Address
3860 W ANN RD
State
Nevada
ZIP Code
89031-4409
Phone
(702) 474-4110

Authorized Official

Name
JEANIENE A TALLEY, MD
Title
PRESIDENT
Phone
(702) 474-4110

Specialties & Taxonomy Codes

Specialty
Family Medicine

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