| Northern Nevada Medical LLC | |
|
801 E Williams Ave Fallon NV 89406-3052 | |
| (602) 821-4517 | |
| Not Available |
| Full Name | Northern Nevada Medical LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 E Williams Ave, Fallon, Nevada |
| Authorized Official Name and Position | Jeff Brouwer (OWNER) |
| Authorized Official Contact | 6028214517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Nevada Medical LLC 801 E Williams Ave Fallon NV 89406-3052 | Northern Nevada Medical LLC 801 E Williams Ave Fallon NV 89406-3052 Ph: (602) 821-4517 |
| NPI Number | 1629767082 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629767082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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