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NPI Code Detail

MEDICARE: ZACHARY AARON BURTON

MEDICARE: ZACHARY AARON BURTON
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
1171100000XAcupuncturist2061NV

General Provider Information

NPI Number : 1760116669
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY AARON BURTON
Provider Business Mailing Address
First Line : 2335 E LAKE MEAD BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7141
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2335 E LAKE MEAD BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7141
Country : US
Telephone Number : 702-577-1910
Fax Number : 888-481-1462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2022
Last Update Date : 07/15/2022

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Directions to “ ZACHARY AARON BURTON ” Practice Location

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