Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | B-789 | NV |
NPI | 1003003732 |
---|---|
Provider Name | Dr. Bret Gabriel Katz |
First Address | Las Vegas, NV 89119-6181 |
Second Address | Las Vegas, NV 89119-6181 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2007 |
Last Update Date | 26/09/2007 |