| Nevada Gastroenterology | |
|
247 Bluffs Ave Ste 102 Elko NV 89801-2488 | |
| (775) 738-0500 | |
| (775) 738-0555 |
| Full Name | Nevada Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 247 Bluffs Ave Ste 102, Elko, Nevada |
| Authorized Official Name and Position | Fred J Fricke (OWNER / PRESIDENT) |
| Authorized Official Contact | 7757380500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Gastroenterology Po Box 1598 Elko NV 89803-1598 Ph: (775) 735-0500 | Nevada Gastroenterology 247 Bluffs Ave Ste 102 Elko NV 89801-2488 Ph: (775) 738-0500 |
| NPI Number | 1689699571 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 11/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689699571 | NPI | - | NPPES |
| 002016010 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 3167 (Nevada) | Primary |
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