Organization
CROWJAM LLC
Active
Other names
Foot Solutions of Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
JACK D CROWDER (MANAGING MEMBER)
(702) 836-3668
Entity
Organization
Contact information
Practice address
2249 N RAMPART BLVD, LAS VEGAS, NV 89128-7640
(702) 836-3668
(702) 836-3669
Mailing address
2249 N RAMPART BLVD, LAS VEGAS, NV 89128-7640
(702) 836-3668
(702) 836-3669
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
NV20121582347
NV
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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