MEDICARE: PHILLIP CANDLAND

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1831589019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP CANDLAND

Provider Business Mailing Address
First Line	:	6077 ENCHANTED PEAK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-6713
Country	:	US
Telephone Number	:	702-483-9585
Fax Number	:

Provider Business Practice Location Address
First Line	:	6077 ENCHANTED PEAK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-6713
Country	:	US
Telephone Number	:	702-483-9585
Fax Number	:

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

Provider Enumeration Date	:	01/27/2015
Last Update Date	:	02/06/2015

Similar Medicare Providers

1083556211 — BELLA RUTH KELLIE NAVE
Practice Location Address:

6713 W CHARLESTON BLVD
LAS VEGAS, NV
89146-9271

Practice Phone: 417-689-7948
Practice Fax:

1356061394 — EMILY WILKINSON
Practice Location Address:

5100 E TROPICANA AVE APT 43F
LAS VEGAS, NV
89122-6713

Practice Phone: 725-236-0588
Practice Fax:

1780545764 — SALAYUTH A SAMREUANG LMT
Practice Location Address:

8948 SANDY ISLE CT
LAS VEGAS, NV
89131-6713

Practice Phone: 510-876-1024
Practice Fax:

1942142393 — JOHNTAY JORELLE PADILLA
Practice Location Address:

3551 E BONANZA RD STE 101
LAS VEGAS, NV
89110-2198

Practice Phone: 702-608-1488
Practice Fax:

1205778651 — ISABELLA SKYE OPIE
Practice Location Address:

3551 E BONANZA RD STE 101
LAS VEGAS, NV
89110-2198

Practice Phone: 702-608-1488
Practice Fax:

1700728854 — LIFELINK MEDICAL SUPPLY LLC
Practice Location Address:

675 N NELLIS BLVD
LAS VEGAS, NV
89110-5383

Practice Phone: 702-971-5703
Practice Fax:

Directions to “ PHILLIP CANDLAND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.