Grissom, Daniel

Grissom, Daniel is an individual health care provider with primary practice located at 1800 W Charleston Blvd , Las Vegas NV 89102-2386. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Grissom, Daniel can be contacted via phone (702) 383-2000.

Contact Information

Primary practice address
1800 W Charleston Blvd Las Vegas NV 89102-2386
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 24016 Nevada
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01084383A Indiana

Profile Details

NPI number 1063943686
LBN Legal business name Grissom, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2017
Last updated Jul 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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