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NPI Code Detail

MEDICARE: GREGORY C MILLS DC

MEDICARE: GREGORY C MILLS 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
1111N00000XChiropractorB144NV

General Provider Information

NPI Number : 1073652129
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY C MILLS DC
Provider Business Mailing Address
First Line : 6837 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1635
Country : US
Telephone Number : 702-646-8700
Fax Number : 702-240-2072
Provider Business Practice Location Address
First Line : 6837 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1635
Country : US
Telephone Number : 702-646-8700
Fax Number : 702-240-2072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 06/21/2011

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Directions to “ GREGORY C MILLS DC” Practice Location

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