| |
200 S Virginia St Ste 800 Reno NV 89501-2405 | |
(888) 966-2398 | |
(888) 966-2398 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 200 S Virginia St, Reno, Nevada |
Authorized Official Name and Position | Scott Wayne Perrenod (CEO) |
Authorized Official Contact | 8889662398 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 S Virginia St Ste 800 Reno NV 89501-2405 Ph: (888) 966-2398 | 200 S Virginia St Ste 800 Reno NV 89501-2405 Ph: (888) 966-2398 |
NPI Number | 1063955268 |
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Provider Enumeration Date | 11/21/2016 |
Last Update Date | 11/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063955268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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