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NPI Code Detail

MEDICARE: HEALTH ENHANCEMENT ROUTE OPTIMIZER

MEDICARE: HEALTH ENHANCEMENT ROUTE OPTIMIZER
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
12083X0100XOccupational Medicine Physician7546NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11083791313OTHERNVMEDICARE INDIVIDUAL NPI

General Provider Information

NPI Number : 1093161978
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH ENHANCEMENT ROUTE OPTIMIZER
Provider Business Mailing Address
First Line : 401 ROYALTON DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-0824
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 401 ROYALTON DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-0824
Country : US
Telephone Number : 702-289-4562
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CHRISTOPHER PEDERSON
Credential : MD
Telephone Number : 702-289-4562
Provider Enumeration Date : 05/10/2016
Last Update Date : 05/10/2016

Similar Medicare Providers

1083791313 — CHRISTOPHER A PEDERSON M.D., M.P.H.
Practice Location Address:
401 ROYALTON DR
LAS VEGAS, NV
89144-0824
Practice Phone: 702-289-4562
Practice Fax: 877-721-6912
1548276314 — THOMAS P BROOKS MS PT ATC
Practice Location Address:
4000 S EASTERN AVE , 300
LAS VEGAS, NV
89119-0824
Practice Phone: 702-734-2732
Practice Fax: 702-737-1453
1194889519 — DR. SABRINA LORRAINE FRIEDMAN DNP, APRN
Practice Location Address:
7361 PRAIRIE FALCON RD STE 110
LAS VEGAS, NV
89128-0824
Practice Phone: 702-294-0433
Practice Fax:
1932244340 — DR. PAMELA SIMONE GABRIEL M.D.
Practice Location Address:
2001 S RAINBOW BLVD , SUITE A
LAS VEGAS, NV
89146-0824
Practice Phone: 702-258-8452
Practice Fax: 702-259-1006
1790817666 — MR. RUEBEN F. CERVANTEZ R.P.T.
Practice Location Address:
4000 S EASTERN AVE , SUITE 300
LAS VEGAS, NV
89119-0824
Practice Phone: 702-734-2732
Practice Fax: 702-737-1453
1942493465 — ELVIRA B ACOSTA MD PC
Practice Location Address:
2001 S RAINBOW BLVD , SUITE 160
LAS VEGAS, NV
89146-0824
Practice Phone: 702-233-2500
Practice Fax: 702-233-2525

Directions to “HEALTH ENHANCEMENT ROUTE OPTIMIZER ” Practice Location

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