Individual
MR. GRISSIM CLARK CONNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, RD
Contact information
Practice address
1707 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-2352
(702) 676-3650
(702) 671-5198
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-2315
(702) 895-4014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1086129
IL
207R00000X
Internal Medicine Physician
Primary
DO3640
NV
Other
Enumeration date
05/15/2012
Last updated
07/10/2024
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