Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 15991 | NV |
Y | 208000000X | Pediatrician | 15991 | NV |
NPI | 1699037499 |
---|---|
Provider Name | Dr. Jeffrey Benjamin Arias |
First Address | Henderson, NV 89052 |
Second Address | Henderson, NV 89052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2012 |
Last Update Date | 16/03/2016 |