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NPI Code Detail

MEDICARE: ALEXIS RICE

MEDICARE: ALEXIS RICE
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
12472B0301XBiomedical Engineering Technician

General Provider Information

NPI Number : 1417393547
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS RICE
Provider Business Mailing Address
First Line : 2700 S VALLEY VIEW BLVD APT E12
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-5999
Country : US
Telephone Number : 702-789-9485
Fax Number :
Provider Business Practice Location Address
First Line : 5659 DUNCAN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2811
Country : US
Telephone Number : 702-385-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2013
Last Update Date : 05/15/2013

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Directions to “ ALEXIS RICE ” Practice Location

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