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NPI Code Detail

MEDICARE: VALLEY CHIROPRACTIC

MEDICARE: VALLEY CHIROPRACTIC
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
1111NI0013XIndependent Medical Examiner ChiropractorB00332NV

General Provider Information

NPI Number : 1649392622
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY CHIROPRACTIC
Provider Business Mailing Address
First Line : 6330 SPRING MOUNTAIN RD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-8843
Country : US
Telephone Number : 702-362-0112
Fax Number : 702-252-7860
Provider Business Practice Location Address
First Line : 6330 SPRING MOUNTAIN RD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-8843
Country : US
Telephone Number : 702-362-0112
Fax Number : 702-252-7860
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT E. BRADEN
Credential : D.C.
Telephone Number : 702-362-0112
Provider Enumeration Date : 04/03/2007
Last Update Date : 08/22/2020

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Directions to “VALLEY CHIROPRACTIC ” Practice Location

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