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NPI Code Detail

MEDICARE: DR. DANIEL JOSEPH RAGUSA D.C

MEDICARE:  DR. DANIEL JOSEPH RAGUSA  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
1111NX0800XOrthopedic ChiropractorB-794NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1061658090OTHERNVTAX IDENTIFIER

General Provider Information

NPI Number : 1427100692
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL JOSEPH RAGUSA D.C
Provider Business Mailing Address
First Line : 209 LOGANSBERRY LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-4739
Country : US
Telephone Number : 702-204-7469
Fax Number : 702-658-2016
Provider Business Practice Location Address
First Line : 3146 N RAINBOW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4533
Country : US
Telephone Number : 702-658-7777
Fax Number : 702-658-2016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DANIEL JOSEPH RAGUSA D.C” Practice Location

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