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NPI Code Detail

MEDICARE: NAPA VALLEY MEDICAL MANAGEMENT LLC

MEDICARE: NAPA VALLEY MEDICAL MANAGEMENT LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1427827088
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAPA VALLEY MEDICAL MANAGEMENT LLC
Provider Business Mailing Address
First Line : 6920 S CIMARRON RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2135
Country : US
Telephone Number : 708-255-2330
Fax Number :
Provider Business Practice Location Address
First Line : 6920 S CIMARRON RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2135
Country : US
Telephone Number : 708-255-2330
Fax Number :
Authorized Official
Title or Position : DC
Name : DAVID EADE
Credential :
Telephone Number : 708-255-2330
Provider Enumeration Date : 12/25/2023
Last Update Date : 01/11/2024

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Directions to “NAPA VALLEY MEDICAL MANAGEMENT LLC ” Practice Location

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