R Scott Ickes DC INC

NPI #1912182866 in Henderson, Nevada

Provider Information

NPI Number: 1912182866
Entity Type: Organization
Organization Name: R Scott Ickes DC INC
Primary Specialty: Chiropractor
Enumeration Date: Jan 9, 2008
Last Updated: Feb 6, 2008

Practice Location

Address: 55 S VALLE VERDE DR STE 450
City: Henderson
State: Nevada
ZIP Code: 89012-3110
Phone: (702) 614-9500

Authorized Official

Name: RICHARD SCOTT ICKES, DC
Title: PRESIDENT
Phone: (702) 614-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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