John Adam Capsavage JR. M.D.

NPI 1629350111 - Internal Medicine - 207R00000X

NPI Details
NPI 1629350111
Gender Male
Enumeration Date 09/12/2011
Last Updated 05/30/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
10624 S EASTERN AVE
SUITE A794
HENDERSON NV, 89052-2982, US
Phone (702) 361-6580
Fax (702) 361-6580
Business Location
10624 S EASTERN AVE
SUITE A794
HENDERSON NV, 89052-2982, US
Phone (702) 361-6580
Fax (702) 361-6580
Toxanomy
Taxonomy Code 207R00000X
License State North Carolina
License Number 9600153
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According to our database, Dr. John Adam Capsavage JR. M.D. NPI is 1629350111, taxonomy code is 207R00000X and license number is 9600153, license state is located at North Carolina. John Adam Capsavage JR. M.D. physically located at 10624 S Eastern Ave, Henderson NV, 89052-2982. NPI Number John Adam Capsavage JR. M.D. has the Individual type.

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1629350111 NPI number is provided on an as is basis without warranty of any kind. 1629350111 is maintained by the National Plan & Provider Enumeration System. The contents of John Adam Capsavage JR. M.D. are for informational purposes only.