Healthcare Provider Details

I. General information

NPI: 1477736361
Provider Name (Legal Business Name): FLAMINGO CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 03/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3585 E FLAMINGO RD STE 202
LAS VEGAS NV
89121-5090
US

IV. Provider business mailing address

3585 E FLAMINGO RD STE 202
LAS VEGAS NV
89121-5090
US

V. Phone/Fax

Practice location:
  • Phone: 702-435-8900
  • Fax: 702-435-5035
Mailing address:
  • Phone: 702-435-8900
  • Fax: 702-435-5035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB376
License Number StateNV

VIII. Authorized Official

Name: DR. ROBERT CHRISTOPHER BUNKER
Title or Position: MANAGER
Credential: D.C.
Phone: 702-435-8900