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NPI Code Detail

MEDICARE: ROSEMAN MEDICAL RESEARCH INSTITUTE, LLC

MEDICARE: ROSEMAN MEDICAL RESEARCH INSTITUTE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1023479052
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSEMAN MEDICAL RESEARCH INSTITUTE, LLC
Provider Business Mailing Address
First Line : 10530 DISCOVERY DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-3039
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5380 S RAINBOW BLVD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1878
Country : US
Telephone Number : 702-463-4040
Fax Number :
Authorized Official
Title or Position : SR. EXECUTIVE DEAN, FINANCE AND OPS
Name : KRISTINA LEE CONNOLLY
Credential :
Telephone Number : 702-802-2878
Provider Enumeration Date : 03/18/2016
Last Update Date : 06/11/2026

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Directions to “ROSEMAN MEDICAL RESEARCH INSTITUTE, LLC ” Practice Location

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