Individual provider · Type 1 NPI

Dustin Banaghan, DO

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1366290777 Active

Practice location

6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181

Call (702) 853-3578 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XSL2196 (NV)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366290777

Dustin Banaghan, DO's National Provider Identifier is 1366290777, issued on May 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Nov 23, 2024.