Organization
C. KRALL EXECUTIVE MEDICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KRALL MD (OWNER)
(702) 856-6115
Entity
Organization
Contact information
Practice address
6126 N RAINBOW BLVD, LAS VEGAS, NV 89130-1408
(702) 856-6115
(702) 877-0382
Mailing address
6126 N RAINBOW BLVD, LAS VEGAS, NV 89130-1408
(702) 856-6115
(702) 877-0382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12574
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12574
NEVADA MEDICAL LICENSE
NV
Enumeration date
12/02/2008
Last updated
12/02/2008
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