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Individual

DR. ROBERT B GRZYWACZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3221 E WARM SPRINGS RD, LAS VEGAS, NV 89120-3157
(702) 733-7617
(702) 733-1732
Mailing address
3221 E WARM SPRINGS RD, LAS VEGAS, NV 89120-3157
(702) 733-7617
(702) 733-1732

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
793965375
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5623276299
TIN
NV
01
P00058662
RAILROAD MEDICARE
NV
Enumeration date
05/31/2007
Last updated
05/23/2008
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