Elleston Craig Rucker LLC
Internal Medicine in Las Vegas, NV. Organization (NPI-2).
NPI number1669969754
StatusActive
Last updated in NPPESApr 16, 2018
Details
- NPI
- 1669969754
- Entity type
- Organization (NPI-2)
- Legal business name
- Elleston Craig Rucker LLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2018
- Last updated
- Apr 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 6766 | NV | Yes |
Practice location
811 S Decatur BlvdLas Vegas, NV 89107-3933
Phone 702-439-5283
Mailing address
811 S Decatur BlvdLas Vegas, NV 89107-3933
Phone 702-439-5283
Authorized official
Elleston Craig Rucker
Owner
7024395283
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