Individual
MR. ROGER A GRINNELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 E CHARLESTON BLVD, A230, LAS VEGAS, NV 89104-6659
(702) 986-4000
Mailing address
4000 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6659
(702) 968-5090
(702) 968-5050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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