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NPI Code Detail

MEDICARE: JAPA VOLCHOK D.O.

MEDICARE: JAPA VOLCHOK D.O.
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
1208600000XSurgery Physician230726MA
2208600000XSurgery PhysicianDO2814NV

General Provider Information

NPI Number : 1417011511
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAPA VOLCHOK D.O.
Provider Business Mailing Address
First Line : 6070 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5615
Country : US
Telephone Number : 702-803-5534
Fax Number : 888-977-3492
Provider Business Practice Location Address
First Line : 6070 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5615
Country : US
Telephone Number : 702-803-5534
Fax Number : 888-977-3492
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 06/13/2024

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Directions to “ JAPA VOLCHOK D.O.” Practice Location

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