Individual
TANNER CROSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3970 W ANN RD STE 100, NORTH LAS VEGAS, NV 89031-3853
(702) 747-4799
(702) 747-4667
Mailing address
3970 W ANN RD STE 100, NORTH LAS VEGAS, NV 89031-3853
(702) 747-4799
(702) 747-4667
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
1179657
NV
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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