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NPI Code Detail

MEDICARE: SARA REBECCA DOPPE DEM

MEDICARE:   SARA REBECCA DOPPE  DEM
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
1175M00000XLay Midwife

General Provider Information

NPI Number : 1467958090
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA REBECCA DOPPE DEM
Provider Business Mailing Address
First Line : 2791 PRINCE AVE. #611
Second Line :
City : SANDY VALLEY
State : NV
Zip : 89019
Country : US
Telephone Number : 702-403-8695
Fax Number :
Provider Business Practice Location Address
First Line : 2791 PRINCE AVE. #611
Second Line :
City : SANDY VALLEY
State : NV
Zip : 89019
Country : US
Telephone Number : 702-403-8695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 04/03/2018

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Directions to “ SARA REBECCA DOPPE DEM” Practice Location

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