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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