Individual
DENNIS L GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 877-8661
(702) 258-1322
Mailing address
PO BOX 34510, LAS VEGAS, NV 89133-4510
(702) 560-2915
(702) 560-2928
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28065047RN
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201484
BLUE SHIELD
IN
05
—
100001050
—
IN
01
—
430004555
RAILROAD MEDICARE
—
Enumeration date
05/10/2006
Last updated
08/26/2016
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