MEDICARE: LES DANIEL GILBERT

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
1	111N00000X	Chiropractor	B01688	NV

General Provider Information

NPI Number	:	1356826440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LES DANIEL GILBERT

Provider Business Mailing Address
First Line	:	1698 COUNTY RD
Second Line	:
City	:	MINDEN
State	:	NV
Zip	:	89423-4405
Country	:	US
Telephone Number	:	702-396-4993
Fax Number	:	702-636-4990

Provider Business Practice Location Address
First Line	:	1698 COUNTY RD
Second Line	:
City	:	MINDEN
State	:	NV
Zip	:	89423-4405
Country	:	US
Telephone Number	:	702-478-9594
Fax Number	:	702-478-9509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	07/23/2021

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Directions to “ LES DANIEL GILBERT ” Practice Location

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