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NPI Code Detail

MEDICARE: FLAMINGO CHIROPRACTIC LLC

MEDICARE: FLAMINGO CHIROPRACTIC LLC
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
1111N00000XChiropractorB376NV

General Provider Information

NPI Number : 1477736361
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLAMINGO CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 3585 E FLAMINGO RD STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5090
Country : US
Telephone Number : 702-435-8900
Fax Number : 702-435-5035
Provider Business Practice Location Address
First Line : 3585 E FLAMINGO RD STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5090
Country : US
Telephone Number : 702-435-8900
Fax Number : 702-435-5035
Authorized Official
Title or Position : MANAGER
Name : DR. ROBERT CHRISTOPHER BUNKER
Credential : D.C.
Telephone Number : 702-435-8900
Provider Enumeration Date : 12/13/2007
Last Update Date : 03/18/2013

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Directions to “FLAMINGO CHIROPRACTIC LLC ” Practice Location

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