Individual
DR. CRAIG E ROLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DABCI
Contact information
Practice address
2720 GREEN VALLEY PARKWAY, HENDERSON, NV 89014
(702) 451-0480
(702) 451-0672
Mailing address
2720 GREEN VALLEY PARKWAY, HENDERSON, NV 89014
(702) 451-0480
(702) 451-0672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
B-223
NV
111NI0900X
Internist Chiropractor
Primary
B-223
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3602011
—
NV
01
—
NV0079
FEDERAL BLUE CROSS
NV
Enumeration date
10/13/2006
Last updated
10/03/2014
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