Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY A WACHS, DO
Active Sole ProprietorFamily Medicine · GLENBROOK, NV
Registration Details
- NPI Number
- 1972543676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2006 (19.90111558381 yrs)
- Last Updated
- Dec 13, 2013
- Licenses
-
20A5556 (CA)DO630 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2163 PRAY MEADOW ROADGLENBROOK, NV, 89413Browse NV providers · Browse ZIP 89413
- Phone
- 7758431754
- Fax
- 7757495021
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
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.