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NPI Code Detail

MEDICARE: DR & D'S ACUPUNCTURE AND YOGA

MEDICARE: DR & D'S ACUPUNCTURE AND YOGA
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
1171100000XAcupuncturist1029NV

General Provider Information

NPI Number : 1386997005
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR & D'S ACUPUNCTURE AND YOGA
Provider Business Mailing Address
First Line : 1350 E FLAMINGO RD # 535
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5263
Country : US
Telephone Number : 702-858-2125
Fax Number :
Provider Business Practice Location Address
First Line : 4700 S MARYLAND PKWY STE 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6318
Country : US
Telephone Number : 702-858-2125
Fax Number :
Authorized Official
Title or Position : ACUPUNCTURIST / OM DOCTOR
Name : DR. ALYSSA J WAMPOLE
Credential : O.M.D., L.AC.
Telephone Number : 702-858-2125
Provider Enumeration Date : 10/18/2012
Last Update Date : 10/18/2012

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Directions to “DR & D'S ACUPUNCTURE AND YOGA ” Practice Location

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