Anthony Deckard QBA

NPI 1770837973 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1770837973
Gender Male
Enumeration Date 11/09/2012
Last Updated 11/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3674 N RANCHO DR
STE. 101
LAS VEGAS NV, 89130-3110, US
Phone (702) 396-2988
Fax
Business Location
3674 N RANCHO DR
STE. 101
LAS VEGAS NV, 89130-3110, US
Phone
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Mr. Anthony Deckard QBA NPI is 1770837973, taxonomy code is 225400000X Anthony Deckard QBA physically located at 3674 N Rancho Dr, Las Vegas NV, 89130-3110. NPI Number Anthony Deckard QBA has the Individual type.

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1770837973 NPI number is provided on an as is basis without warranty of any kind. 1770837973 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Deckard QBA are for informational purposes only.