Evolution Medical Spa

NPI 1093016412 - Clinic/Center - 261QP2300X

NPI Details
NPI 1093016412
Enumeration Date 11/17/2010
Last Updated 01/31/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KAREN LEE KAREN
Position PHYSICIAN
Phone (775) 385-4377
Fax
Practice Location
845 RAILROAD ST
ELKO NV, 89801-3831, US
Phone (775) 385-4377
Fax
Business Location
769 OAK ST
ELKO NV, 89801-3310, US
Phone (775) 385-4377
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Nevada
License Number 10643
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According to our database, Evolution Medical Spa NPI is 1093016412, taxonomy code is 261QP2300X and license number is 10643, license state is located at Nevada. Evolution Medical Spa physically located at 845 Railroad St, Elko NV, 89801-3831. NPI Number 1033115704 has the healthcare provider type.

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1093016412 NPI number is provided on an as is basis without warranty of any kind. 1093016412 is maintained by the National Plan & Provider Enumeration System. The contents of Evolution Medical Spa are for informational purposes only.