| Merry Medical Team | |
|
1649 Lucerne St Ste A & B Minden NV 89423-4363 | |
| (775) 782-1603 | |
| (775) 782-3427 |
| Full Name | Merry Medical Team |
|---|---|
| Speciality | Family Medicine |
| Location | 1649 Lucerne St, Minden, Nevada |
| Authorized Official Name and Position | Thomas Gordon Merry (PRESIDENT) |
| Authorized Official Contact | 7757821603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merry Medical Team 1111 Emerald Bay Rd South Lake Tahoe CA 96150-6207 Ph: (530) 543-5659 | Merry Medical Team 1649 Lucerne St Ste A & B Minden NV 89423-4363 Ph: (775) 782-1603 |
| NPI Number | 1194791962 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194791962 | NPI | - | NPPES |
| 100506316 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Nevada) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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