| Peter R Fenwick, MD | |
|
75 Pringle Way Ste 505 Reno NV 89502-1469 | |
| (775) 786-7216 | |
| (775) 786-9365 |
| Full Name | Peter R Fenwick, MD |
|---|---|
| Speciality | Family Medicine |
| Location | 75 Pringle Way Ste 505, Reno, Nevada |
| Authorized Official Name and Position | Peter R Fenwick (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7757867216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter R Fenwick, MD 75 Pringle Way Ste 505 Reno NV 89502-1469 Ph: (775) 786-7216 | Peter R Fenwick, MD 75 Pringle Way Ste 505 Reno NV 89502-1469 Ph: (775) 786-7216 |
| NPI Number | 1083895288 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 02/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083895288 | NPI | - | NPPES |
| 2016342 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4024 (Nevada) | Primary |
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