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NPI Code Detail

MEDICARE: DAVID L KLAPPHOLZ CRNA

MEDICARE: DAVID L KLAPPHOLZ CRNA
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
1367500000XCertified Registered Nurse Anesthetist26NJ15264200NJ
2367500000XCertified Registered Nurse Anesthetist4047SC
3367500000XCertified Registered Nurse Anesthetist637070TX
4367500000XCertified Registered Nurse Anesthetist000010225TN
5367500000XCertified Registered Nurse Anesthetist868614NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00663775OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
24162600OTHERBCBS

General Provider Information

NPI Number : 1679576755
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID L KLAPPHOLZ CRNA
Provider Business Mailing Address
First Line : 4454 N DECATUR BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-5286
Country : US
Telephone Number : 702-839-1203
Fax Number : 702-839-1301
Provider Business Practice Location Address
First Line : 4454 N DECATUR BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-5286
Country : US
Telephone Number : 702-839-1203
Fax Number : 702-839-1301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/18/2025

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Directions to “ DAVID L KLAPPHOLZ CRNA” Practice Location

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