Individual
DR. DANIEL GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-1958
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01084383A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
24016
NV
Other
Enumeration date
03/24/2017
Last updated
10/29/2024
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