| Accs | |
|
738 Prater Way Sparks NV 89431-4466 | |
| (775) 356-0371 | |
| Not Available |
| Full Name | Accs |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 738 Prater Way, Sparks, Nevada |
| Authorized Official Name and Position | Walter Dimitroff (OWNER-DIRECTOR) |
| Authorized Official Contact | 7753560371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accs 738 Prater Way Sparks NV 89431-4466 Ph: (775) 356-0371 | Accs 738 Prater Way Sparks NV 89431-4466 Ph: (775) 356-0371 |
| NPI Number | 1386784015 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234575671 |
|---|---|
| Medicare Enrollment ID | O20240307004079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386784015 | NPI | - | NPPES |
| Provider Name | Walter L Dimitroff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760661904 PECOS PAC ID: 0143666586 Enrollment ID: I20240307004098 |
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