MEDICARE: DR. DANIELLE MADELINE BUDA 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
1	111N00000X	Chiropractor	B00803	NV

General Provider Information

NPI Number	:	1619998424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE MADELINE BUDA D.C.

Provider Business Mailing Address
First Line	:	7910 W TROPICAL PKWY
Second Line	:	SUITE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4554
Country	:	US
Telephone Number	:	702-458-2225
Fax Number	:	702-396-4536

Provider Business Practice Location Address
First Line	:	7910 W TROPICAL PKWY
Second Line	:	SUITE 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4554
Country	:	US
Telephone Number	:	702-458-2225
Fax Number	:	702-396-4536

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	06/26/2013

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