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Organization

INDIGENOUS HEALTHCARE ADVANCEMENTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN RANDOLPH REEVES III MHA (PRESIDENT)
(808) 214-7269
Entity
Organization

Contact information

Practice address
1032 SEAGATE AVE, COOS BAY, OR 97420-3055
(808) 214-7269
Mailing address
675 S GREEN VALLEY PKWY # 1313, HENDERSON, NV 89052-0404
(808) 214-7269

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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