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NPI Code Detail

MEDICARE: DR. ARMANDO S MICIANO M.D.

MEDICARE: DR. ARMANDO S MICIANO M.D.
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
1208100000XPhysical Medicine & Rehabilitation Physician8370NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18370OTHERNVSTATE LICENSE

General Provider Information

NPI Number : 1548386287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARMANDO S MICIANO M.D.
Provider Business Mailing Address
First Line : 2701 N TENAYA WAY
Second Line : STE. 290
City : LAS VEGAS
State : NV
Zip : 89128-0478
Country : US
Telephone Number : 702-869-4401
Fax Number : 702-869-9904
Provider Business Practice Location Address
First Line : 2701 N TENAYA WAY
Second Line : STE. 290
City : LAS VEGAS
State : NV
Zip : 89128-0478
Country : US
Telephone Number : 702-869-4401
Fax Number : 702-869-9904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 09/10/2007

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