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NPI Code Detail

MEDICARE: DR. PETER ANDREW GOZDZIKOWSKI D.C.

MEDICARE:  DR. PETER ANDREW GOZDZIKOWSKI  D.C.
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
1111N00000XChiropractorB01355NV

General Provider Information

NPI Number : 1346663598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER ANDREW GOZDZIKOWSKI D.C.
Provider Business Mailing Address
First Line : 3412 CATHERINE MERMET AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-6484
Country : US
Telephone Number : 386-523-4751
Fax Number :
Provider Business Practice Location Address
First Line : 3820 W ANN RD STE 130
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4401
Country : US
Telephone Number : 702-233-2626
Fax Number : 702-361-2626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2014
Last Update Date : 07/09/2019

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Directions to “ DR. PETER ANDREW GOZDZIKOWSKI D.C.” Practice Location

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