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NPI Code Detail

MEDICARE: MILLS CHIROPRACTIC CENTER CHARTERED

MEDICARE: MILLS CHIROPRACTIC CENTER CHARTERED
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 : 1336394774
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLS CHIROPRACTIC CENTER CHARTERED
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 : CHIROPRACTIC PHYSICIAN
Name : GREGORY C MILLS
Credential : D.C.
Telephone Number : 702-646-8700
Provider Enumeration Date : 11/26/2008
Last Update Date : 09/02/2011

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Directions to “MILLS CHIROPRACTIC CENTER CHARTERED ” Practice Location

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