Organization
CAROLYN A CRUVANT, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN A CRUVANT M.D. (PRESIDENT)
(702) 796-8680
Entity
Organization
Contact information
Practice address
3006 S MARYLAND PKWY, SUITE 215, LAS VEGAS, NV 89109-2218
(702) 796-8680
(702) 796-6634
Mailing address
3006 S MARYLAND PKWY, SUITE 215, LAS VEGAS, NV 89109-2218
(702) 796-8680
(702) 796-6634
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5853
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002632
—
NV
01
—
0850014
MEDICA
—
01
—
5274
MEDICAL EYE SERVICES
—
01
—
579
NEVADACARE
—
01
—
5844
DAVIS VISION
—
05
—
861270
—
AZ
01
—
9615702
GHI
—
01
—
NV7326
BCBS
—
Enumeration date
01/24/2007
Last updated
06/16/2010
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