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NPI Code Detail

MEDICARE: DR. JEFFREY JOE M.D.

MEDICARE: DR. JEFFREY JOE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician10619NV

General Provider Information

NPI Number : 1588770598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY JOE M.D.
Provider Business Mailing Address
First Line : 5850 POLARIS AVE
Second Line : STE. 100
City : LAS VEGAS
State : NV
Zip : 89118-3182
Country : US
Telephone Number : 702-739-9957
Fax Number :
Provider Business Practice Location Address
First Line : 5850 POLARIS AVE
Second Line : STE. 100
City : LAS VEGAS
State : NV
Zip : 89118-3182
Country : US
Telephone Number : 702-739-9957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 11/21/2011

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Directions to “ DR. JEFFREY JOE M.D.” Practice Location

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