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JUSTAN DEGENEFFE NPI 1770132466


NPI Information

NPI: 1770132466
Provider Name: JUSTAN DEGENEFFE
Classification: Pediatrics - 2080P0006X
Entity Type: Individual

Specialization: Developmental - Behavioral Pediatrics

Address:
7676 SILVER BARON RD
LAS VEGAS, NV
ZIP 89179
Phone: (702) 406-2325
Get Directions

Justan Degeneffe is a developmental - behavioral pediatrics pediatrics in Las Vegas, NV. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. Justan Degeneffe NPI is 1770132466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7676 SILVER BARON RD
LAS VEGAS, NV
ZIP 89179-070
Phone: (702) 406-2325

The enumeration date for this NPI number is 9/5/2019 and was last updated on 9/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics181456NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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