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NPI Code Detail

MEDICARE: CHRISTOPHER S CRUZ MD LTD

MEDICARE: CHRISTOPHER S CRUZ MD LTD
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
1207R00000XInternal Medicine Physician10545NV

General Provider Information

NPI Number : 1659578359
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTOPHER S CRUZ MD LTD
Provider Business Mailing Address
First Line : PO BOX 28971
Second Line :
City : LAS VEGAS
State : NV
Zip : 89126-2971
Country : US
Telephone Number : 702-220-9667
Fax Number : 702-220-5277
Provider Business Practice Location Address
First Line : 5450 W SAHARA AVE
Second Line : SUITE 130
City : LAS VEGAS
State : NV
Zip : 89146-0380
Country : US
Telephone Number : 702-220-9667
Fax Number : 702-220-5277
Authorized Official
Title or Position : OWNER
Name : CHRISTOPHER CRUZ
Credential : M.D.
Telephone Number : 702-220-9667
Provider Enumeration Date : 06/27/2007
Last Update Date : 09/17/2013

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Directions to “CHRISTOPHER S CRUZ MD LTD ” Practice Location

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