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NPI Code Detail

MEDICARE: DR. RALPH J IANACONE DC

MEDICARE:  DR. RALPH J IANACONE  DC
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
1111N00000XChiropractorB01255NV

General Provider Information

NPI Number : 1629388228
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RALPH J IANACONE DC
Provider Business Mailing Address
First Line : 9034 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5744
Country : US
Telephone Number : 702-256-8686
Fax Number : 702-256-2206
Provider Business Practice Location Address
First Line : 9034 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5744
Country : US
Telephone Number : 702-256-8686
Fax Number : 702-256-2206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2010
Last Update Date : 10/15/2010

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Directions to “ DR. RALPH J IANACONE DC” Practice Location

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