NPI 1427317155 · live from the CMS NPI Registry
Grissim Clark Connery, DO, RD
Internal Medicine in Las Vegas, NV. National Provider Identifier 1427317155, active.
NPI record
| NPI | 1427317155 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1707 W Charleston Blvd Ste 100, Las Vegas, NV 89102 |
| Practice phone | 702-676-3650 |
| Mailing address | 3016 W Charleston Blvd Ste 100, Las Vegas, NV 89102 |
| Enumerated | May 15, 2012 |
| Last updated | July 10, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 1086129 (IL) |
| Internal Medicine primary | 207R00000X | DO3640 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.