| Sierra Nevada Medical Group | |
|
1624 Library Lane Suite B Minden NV 89423 | |
| (775) 782-8186 | |
| (775) 782-4683 |
| Full Name | Sierra Nevada Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 1624 Library Lane, Minden, Nevada |
| Authorized Official Name and Position | David Howard Johnson (PRESIDENT) |
| Authorized Official Contact | 7757828186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Nevada Medical Group 1077 Fourth Street Suite 12 South Lake Tahoe CA 96150 Ph: (530) 543-5640 | Sierra Nevada Medical Group 1624 Library Lane Suite B Minden NV 89423 Ph: (775) 782-8186 |
| NPI Number | 1730153826 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730153826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Nevada) | Primary |
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