DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSE G MANGROBANG JR., PA-C

Active

Physician Assistant · NELLIS AFB, NV

Registration Details

NPI Number
1508946294
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2006 (19.510015364553 yrs)
Last Updated
Jun 17, 2019
License
PA1565 (NV)

Practice Information

Address
4700 LAS VEGAS BLVD N
NELLIS AFB, NV, 891916600
Browse NV providers · Browse ZIP 89191
Phone
7026532764
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in NELLIS AFB, NV

Name Credential NPI
EDWIN A CHAVEZ PA-C 1578547477
BRADLEY W PRATT PA-C 1164484952
SAMANTHA JEAN KELPIS PA-C 1427010065
JOHN G GUSE PA-C 1013927961
CARLENE J BAINTER PA-C 1033206040
DR. BERNADETTE SCHULMAN DMSC, MS, PA-C 1053400390
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.