NPI 1740532084

Crowjam LLC

Organisation Pedorthist Las Vegas, NV

Practice location

Address: 2249 N Rampart Blvd, Las Vegas, NV 89128-7640
Phone: (702) 836-3668
Fax: (702) 836-3669

Authorised official

Name: Jack D Crowder
Title: Managing Member
Phone: (702) 836-3668

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence NV20121582347 (NV)

Other Pedorthist providers in Nevada →

Registry record

NPI: 1740532084
Entity type: Organization
NPI issued: 10 Oct 2012
Record last updated: 10 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.