Healthcare Provider Details

I. General information

NPI: 1023224706
Provider Name (Legal Business Name): COTTRELL HIRSCHFELD & JORDAN LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 W CATHEDRAL ROCK DR STE #130
LAS VEGAS NV
89128
US

IV. Provider business mailing address

7200 W CATHEDRAL ROCK DR STE #130
LAS VEGAS NV
89128
US

V. Phone/Fax

Practice location:
  • Phone: 702-228-8600
  • Fax: 702-228-8689
Mailing address:
  • Phone: 702-228-8600
  • Fax: 702-228-8689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER KRAUSE
Title or Position: OFFICE MANAGER
Credential:
Phone: 702-228-8600