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Canowa Sub 1
Chiropractor in Las Vegas, Nevada
NPI 1962406686

Canowa Sub 1 is a Chiropractor based in Las Vegas, NV. Canowa Sub 1 practices in Las Vegas, NV. The NPI Number for Canowa Sub 1 is 1962406686 and holds a License No. B79 (Nevada).

The current practice location address for Canowa Sub 1 is 2091 E Sahara Ave, Las Vegas, NV and can be reached out via phone at 702-732-4044 and via fax at 702-732-8396.

Location: 2091 E Sahara Ave, Las Vegas, NV, 89104-3829
institution
Provider Profile Details
NPI Number
1962406686
Provider Name
Canowa Sub 1
Credential
Provider Entity Type
Organization
Address
2091 E Sahara Ave, Las Vegas, NV, 89104-3829
Phone Number
702-732-4044
Fax Number
702-732-8396
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V106920 01 NV MEDICARE PTAN
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Provider Business Practice Location Address Details
Address
2091 E Sahara Ave
City
State
Zip
89104-3829
Phone Number
702-732-4044
Fax Number
702-732-8396
person
Provider Business Mailing Address Details
Address
2091 E Sahara Ave
City
State
Zip
89104-3829
Phone Number
702-732-4044
Fax Number
702-732-8396
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
B79 (Nevada)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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