IndividualActive
Daniel Grissom, M.D.
NPI 1063943686 · Pediatric Emergency Medicine (Pediatrics) Physician · Las Vegas, NV
Provider details
- NPI number
- 1063943686
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01084383A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone: (702) 383-1958
Approximate (ZIP-level) locationGet directions
Mailing address
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Registry dates
- Enumerated
- 2017-03-24
- Last updated
- 2024-10-29
- Certified
- 2024-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.