MEDICARE: DR. HAK EUN RHEE O.M.D.

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	171100000X	Acupuncturist	0016	NV

General Provider Information

NPI Number	:	1912060187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAK EUN RHEE O.M.D.

Provider Business Mailing Address
First Line	:	1995 PARADISE RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2510
Country	:	US
Telephone Number	:	702-732-0051
Fax Number	:	702-732-0054

Provider Business Practice Location Address
First Line	:	1995 PARADISE ROAD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104
Country	:	US
Telephone Number	:	702-732-0051
Fax Number	:	702-732-0054

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

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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