Organization
CHARLESTON RESIDENTIAL MEDICINE LLC
Active
Organization
CHARLESTON RESIDENTIAL MEDICINE LLC
Active
Other names
CrossRoads Comprehensive Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN MORSS (CHIEF OPERATING OFFICER)
(702) 332-3228
Entity
Organization
Contact information
Practice address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
(702) 382-7746
Mailing address
2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2205
(702) 382-7746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
04/04/2019
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