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NPI Code Detail

MEDICARE: DR. JOHN ADAM MOEHRLE D.C.

MEDICARE:  DR. JOHN ADAM MOEHRLE  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
1111N00000XChiropractorB00159NV

General Provider Information

NPI Number : 1912139445
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ADAM MOEHRLE D.C.
Provider Business Mailing Address
First Line : 62 REYBURN DR
Second Line :
City : HENDERSON
State : NV
Zip : 89074-2720
Country : US
Telephone Number : 702-806-5078
Fax Number : 702-896-0058
Provider Business Practice Location Address
First Line : 7291 S EASTERN AVE STE B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-0437
Country : US
Telephone Number : 702-896-0080
Fax Number : 702-896-0058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2009
Last Update Date : 08/18/2009

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Directions to “ DR. JOHN ADAM MOEHRLE D.C.” Practice Location

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