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NPI Code Detail

MEDICARE: MR. ROBERT MELESKI

MEDICARE: MR. ROBERT MELESKI
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
1225400000XRehabilitation PractitionerNV

General Provider Information

NPI Number : 1477896983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT MELESKI
Provider Business Mailing Address
First Line : 8501 W. UNIVERSITY AVE #1124
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147
Country : US
Telephone Number : 702-807-5722
Fax Number :
Provider Business Practice Location Address
First Line : 8501 W. UNIVERSITY AVE #1124
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147
Country : US
Telephone Number : 702-807-5722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2013
Last Update Date : 04/03/2013

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