Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | DO2675 | NV |
NPI | 1003264151 |
---|---|
Provider Name | Garet Jefferson Zaugg |
First Address | Las Vegas, NV 89106-4145 |
Second Address | Las Vegas, NV 89106-4145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2016 |
Last Update Date | 09/08/2021 |