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NPI Code Detail

MEDICARE: INTERNATIONAL HEALING AND HYPERBARIC LTD

MEDICARE: INTERNATIONAL HEALING AND HYPERBARIC LTD
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
1207PE0005XUndersea and Hyperbaric Medicine (Emergency Medicine) Physician11508NV

General Provider Information

NPI Number : 1033397625
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERNATIONAL HEALING AND HYPERBARIC LTD
Provider Business Mailing Address
First Line : 8430 W LAKE MEAD BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-7674
Country : US
Telephone Number : 702-453-3799
Fax Number : 702-453-5741
Provider Business Practice Location Address
First Line : 10401 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1151
Country : US
Telephone Number : 702-576-9820
Fax Number : 702-576-9801
Authorized Official
Title or Position : MANAGER
Name : HORACE P GUERRA
Credential : MD
Telephone Number : 702-921-6829
Provider Enumeration Date : 02/05/2008
Last Update Date : 08/25/2009

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Directions to “INTERNATIONAL HEALING AND HYPERBARIC LTD ” Practice Location

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