Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justan Degeneffe

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1770132466

Justan Degeneffe is a Developmental - Behavioral Pediatrics Physician in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2019
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Practice location Address checks out

7676 Silver Baron Rd
Las Vegas, NV 89179-2070
Phone: (702) 406-2325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 181456 (NV)

Record details

NPI number1770132466
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 5, 2019
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address7676 Silver Baron Rd, Las Vegas, NV 89179-2070

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