Kevin J Iannazzo CO

NPI 1780871020 - Orthotist - 222Z00000X

NPI Details
NPI 1780871020
Gender Male
Enumeration Date 10/01/2007
Last Updated 10/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
526 S TONOPAH DR STE 120
LAS VEGAS NV, 89106-4044, US
Phone (702) 336-9681
Fax
Business Location
526 S TONOPAH DR STE 120
LAS VEGAS NV, 89106-4044, US
Phone (702) 336-9681
Fax
Toxanomy
Taxonomy Code 222Z00000X
License State
License Number
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According to our database, Kevin J Iannazzo CO NPI is 1780871020, taxonomy code is 222Z00000X Kevin J Iannazzo CO physically located at 526 S Tonopah Dr Ste 120, Las Vegas NV, 89106-4044. NPI Number Kevin J Iannazzo CO has the Individual type.

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1780871020 NPI number is provided on an as is basis without warranty of any kind. 1780871020 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin J Iannazzo CO are for informational purposes only.