Basic Information
Provider Information
NPI: 1104140938
EntityType: 2
ReplacementNPI:  
OrganizationName: DR. DAVID M STRENG DC, PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 4530 S EASTERN AVE
Address2: SUITE 6
City: LAS VEGAS
State: NV
PostalCode: 891196181
CountryCode: US
TelephoneNumber: 7023696242
FaxNumber: 7023696269
Practice Location
Address1: 4530 S EASTERN AVE
Address2: SUITE 6
City: LAS VEGAS
State: NV
PostalCode: 891196181
CountryCode: US
TelephoneNumber: 7023696242
FaxNumber: 7023696269
Other Information
ProviderEnumerationDate: 03/23/2010
LastUpdateDate: 03/23/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: STRENG
AuthorizedOfficialFirstName: DAVID
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 7023696242
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: D.C.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000XB-01207NVY193400000X SINGLE SPECIALTY GROUPChiropractic ProvidersChiropractor 

No ID Information.


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