Individual
JENNIFER SUE ROZUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(702) 255-5025
(702) 255-5015
Mailing address
8200 SOARING OWL AVE, LAS VEGAS, NV 89129-1832
(702) 396-9147
(702) 396-5013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10814
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
10814
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503112
—
NV
Enumeration date
08/12/2005
Last updated
07/28/2009
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