Fremantle Regal Corporation

NPI 1740542331 - Family Medicine - 207Q00000X

NPI Details
NPI 1740542331
Enumeration Date 06/11/2012
Last Updated 06/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BIKAS BIKAS
Position OWNER
Phone (702) 750-1744
Fax
Practice Location
6787 W TROPICANA AVE
SUITE 110
LAS VEGAS NV, 89103-4757, US
Phone (702) 750-1744
Fax
Business Location
10620 SOUTHERN HIGHLANDS PKWY
SUITE 110 #477
LAS VEGAS NV, 89141-4371, US
Phone (702) 750-1744
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Nevada
License Number 12368
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According to our database, Fremantle Regal Corporation NPI is 1740542331, taxonomy code is 207Q00000X and license number is 12368, license state is located at Nevada. Fremantle Regal Corporation physically located at 6787 W Tropicana Ave, Las Vegas NV, 89103-4757. NPI Number 1033115704 has the healthcare provider type.

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1740542331 NPI number is provided on an as is basis without warranty of any kind. 1740542331 is maintained by the National Plan & Provider Enumeration System. The contents of Fremantle Regal Corporation are for informational purposes only.