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NPI Code Detail

MEDICARE: DR. VINCE LINK OMD

MEDICARE:  DR. VINCE  LINK  OMD
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
1171100000XAcupuncturist1017NV

General Provider Information

NPI Number : 1285727602
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCE LINK OMD
Provider Business Mailing Address
First Line : 2920 S. RAINBOW BLVD
Second Line : SUITE #140
City : LAS VEGAS
State : NV
Zip : 89146
Country : US
Telephone Number : 702-444-4775
Fax Number : 702-444-4776
Provider Business Practice Location Address
First Line : 2920 S. RAINBOW BLVD
Second Line : SUITE #140
City : LAS VEGAS
State : NV
Zip : 89146
Country : US
Telephone Number : 702-444-4775
Fax Number : 702-444-4776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 09/17/2014

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Directions to “ DR. VINCE LINK OMD” Practice Location

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