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NPI Code Detail

MEDICARE: BEST STEPS SHOES

MEDICARE: BEST STEPS SHOES
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MP00370OTHERNVNV STATE BOARD OF PHARMCY

General Provider Information

NPI Number : 1124071659
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEST STEPS SHOES
Provider Business Mailing Address
First Line : 2160 W CHARLESTON BLVD
Second Line : SUITE L
City : LAS VEGAS
State : NV
Zip : 89102-2243
Country : US
Telephone Number : 702-598-3720
Fax Number : 702-633-7180
Provider Business Practice Location Address
First Line : 2160 W CHARLESTON BLVD
Second Line : SUITE L
City : LAS VEGAS
State : NV
Zip : 89102-2243
Country : US
Telephone Number : 702-598-3720
Fax Number : 702-633-7180
Authorized Official
Title or Position : OWNER
Name : SANDRA MANCILLA
Credential :
Telephone Number : 702-598-3720
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/22/2020

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Directions to “BEST STEPS SHOES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.