Individual
CLARE E CLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2653 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-2931
(702) 220-4006
(702) 655-4005
Mailing address
2653 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-2931
(702) 220-4006
(702) 655-4005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
7840
NV
2088P0231X
Pediatric Urology Physician
0101280695
VA
2088P0231X
Pediatric Urology Physician
Primary
7840
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019828
—
NV
Enumeration date
12/05/2006
Last updated
01/10/2024
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