Individual
CRYSTAL PHARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(702) 469-9676
Mailing address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24559
NV
207P00000X
Emergency Medicine Physician
ML60949190
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD61403480
—
WA
05
—
ML60949190
—
WA
Enumeration date
05/29/2019
Last updated
02/10/2026
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