Individual
DR. JORDAN ANTHONY GRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 RANCHO LN STE 135, LAS VEGAS, NV 89106-3826
(702) 383-7885
(702) 383-8235
Mailing address
901 RANCHO LN STE 135, LAS VEGAS, NV 89106-3826
(702) 383-7885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T1712
TX
Other
Enumeration date
04/26/2018
Last updated
04/19/2024
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