| Innerthin LLC | |
|
2345 E Prater Way Ste. 200 Sparks NV 89434-9600 | |
| (775) 352-9600 | |
| (775) 352-3645 |
| Full Name | Innerthin LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2345 E Prater Way, Sparks, Nevada |
| Authorized Official Name and Position | Tracey D Green (OWNER) |
| Authorized Official Contact | 7753529600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerthin LLC 2345 E Prater Way Ste. 200 Sparks NV 89434-9600 Ph: (775) 352-9600 | Innerthin LLC 2345 E Prater Way Ste. 200 Sparks NV 89434-9600 Ph: (775) 352-9600 |
| NPI Number | 1093028565 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093028565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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