Individual provider · Type 1 NPI
Bruce C. Koelliker, DC
Chiropractor · Las Vegas, NV
NPI number
1902902539
Active
Practice location
9775 S Maryland Pkwy, Ste A
Las Vegas, NV 89183
Fax (702) 320-4148
Mailing address
9775 S Maryland Parkway, Suite A
Las Vegas, NV 89183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | B646 (NV) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
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About NPI 1902902539
Bruce C. Koelliker, DC's National Provider Identifier is 1902902539, issued on Sep 14, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 18, 2008.