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NPI Code Detail

MEDICARE: DR. YIA VANG D.C.

MEDICARE:  DR. YIA  VANG  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
1111N00000XChiropractor111N0000XMN

General Provider Information

NPI Number : 1861805384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YIA VANG D.C.
Provider Business Mailing Address
First Line : 1200 GALTIER ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-4454
Country : US
Telephone Number : 651-338-9316
Fax Number :
Provider Business Practice Location Address
First Line : 1200 GALTIER ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-4454
Country : US
Telephone Number : 651-338-9316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2014
Last Update Date : 06/03/2014

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Directions to “ DR. YIA VANG D.C.” Practice Location

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