MEDICARE: STUART FRANCIS PARDEE DC

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
1	111N00000X	Chiropractor	B-268	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	350039057	OTHER	NV	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20218	OTHER	NV	BLUE CROSS

General Provider Information

NPI Number	:	1013914076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART FRANCIS PARDEE DC

Provider Business Mailing Address
First Line	:	1698 COUNTY RD
Second Line	:
City	:	MINDEN
State	:	NV
Zip	:	89423-4405
Country	:	US
Telephone Number	:	775-782-5143
Fax Number	:	775-782-2305

Provider Business Practice Location Address
First Line	:	1698 COUNTY RD
Second Line	:
City	:	MINDEN
State	:	NV
Zip	:	89423-4405
Country	:	US
Telephone Number	:	775-782-5143
Fax Number	:	775-782-2305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	05/02/2013

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Directions to “ STUART FRANCIS PARDEE DC” Practice Location

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