Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTAN DEGENEFFE
Active Sole ProprietorJUSTAN DEGENEFFE is a Developmental-Behavioral Pediatrics healthcare provider located in LAS VEGAS, Nevada. NPI 1770132466 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · LAS VEGAS, NV
Registration Details
- NPI Number
- 1770132466
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2019 (6.9488012298261 yrs)
- Last Updated
- Sep 5, 2019
- License
-
181456 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7676 SILVER BARON RDLAS VEGAS, NV, 891792070Browse NV providers · Browse ZIP 89179
- Phone
- 7024062325
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
Other Developmental-Behavioral Pediatrics Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| DR. JOHANNA S. FRICKE | M.D. | 1801874631 |
| MARIO J. GASPAR DE ALBA | M.D. | 1275546590 |
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.