Organization
TRACI E GROSSMAN MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI E GROSSMAN MD (PRESIDENT)
(702) 399-9000
Entity
Organization
Contact information
Practice address
6325 S JONES BLVD STE 500, LAS VEGAS, NV 89118-3336
(702) 399-9000
(702) 399-9002
Mailing address
6325 S JONES BLVD STE 500, LAS VEGAS, NV 89118-3336
(702) 399-9000
(702) 399-9002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
08/29/2007
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