Individual
CONNOR ALFRED FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(702) 962-9551
Mailing address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO3270
NV
207P00000X
Emergency Medicine Physician
Primary
O-1827
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
08/24/2023
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