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NPI Code Detail

MEDICARE: BRITTANY L DIGGS

MEDICARE: BRITTANY L DIGGS
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1083984314
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY L DIGGS
Provider Business Mailing Address
First Line : 4868 CLEOPATRA AVE APT 2311
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3012
Country : US
Telephone Number : 702-927-1423
Fax Number :
Provider Business Practice Location Address
First Line : 4550 W OAKEY BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1506
Country : US
Telephone Number : 702-982-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2012
Last Update Date : 01/03/2012

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Directions to “ BRITTANY L DIGGS ” Practice Location

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