NPI 1548747066

Forage Professional Services PLLC

Organisation Electrodiagnostic Medicine Physician Henderson, NV

Practice location

Address: 10624 S Eastern Ave # A443, Henderson, NV 89052-2982
Phone: (702) 896-0940
Mailing address: Dept 880284 PO Box 29650, Phoenix, AZ 85038-9650

Authorised official

Name: James Forage
Title: Sole Member
Phone: (800) 310-7334

Registered specialties

Electrodiagnostic Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204R00000X Licence 10801 (NV)

Other Electrodiagnostic Medicine providers in Nevada →

Registry record

NPI: 1548747066
Entity type: Organization
NPI issued: 26 Jul 2018
Record last updated: 10 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.