Jackson Health and Theater

NPI #1548201635 in Pahrump, Nevada

Provider Information

NPI Number: 1548201635
Entity Type: Organization
Organization Name: Jackson Health and Theater
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 9, 2006
Last Updated: Sep 21, 2007

Practice Location

Address: 360 SOUTH LOLA LANE
City: Pahrump
State: Nevada
ZIP Code: 89048
Phone: (775) 751-7833

Authorized Official

Name: MICHAEL JACKSON
Title: MEMBER
Phone: (702) 326-2149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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