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NPI Code Detail

MEDICARE: DR. MARILEE A KRALL DC

MEDICARE:  DR. MARILEE A KRALL  DC
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
1111N00000XChiropractor1259NM

General Provider Information

NPI Number : 1366565335
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARILEE A KRALL DC
Provider Business Mailing Address
First Line : 2002 HOT SPRINGS BLVD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-3441
Country : US
Telephone Number : 505-454-9525
Fax Number :
Provider Business Practice Location Address
First Line : 2002 HOT SPRINGS BLVD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-3441
Country : US
Telephone Number : 505-454-9525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MARILEE A KRALL DC” Practice Location

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