Provider Demographics
NPI:1285727602
Name:LINK, VINCE (OMD)
Entity type:Individual
Prefix:DR
First Name:VINCE
Middle Name:
Last Name:LINK
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2920 S. RAINBOW BLVD
Mailing Address - Street 2:SUITE #140
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146
Mailing Address - Country:US
Mailing Address - Phone:702-444-4775
Mailing Address - Fax:702-444-4776
Practice Address - Street 1:2920 S. RAINBOW BLVD
Practice Address - Street 2:SUITE #140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-444-4775
Practice Address - Fax:702-444-4776
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV1017171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist