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NPI Code Detail

MEDICARE: DR. MARK STEVEN ROOKHUYZEN DC

MEDICARE:  DR. MARK STEVEN ROOKHUYZEN  DC
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
1111N00000XChiropractorB000398NV

General Provider Information

NPI Number : 1972594687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK STEVEN ROOKHUYZEN DC
Provider Business Mailing Address
First Line : 7291 S EASTERN AVE
Second Line : STE B
City : LAS VEGAS
State : NV
Zip : 89119-0436
Country : US
Telephone Number : 702-896-3416
Fax Number : 702-896-0058
Provider Business Practice Location Address
First Line : 7291 S EASTERN AVE
Second Line : STE B
City : LAS VEGAS
State : NV
Zip : 89119-0436
Country : US
Telephone Number : 702-896-3416
Fax Number : 702-896-0058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MARK STEVEN ROOKHUYZEN DC” Practice Location

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