| Malcolm D Bacchus Md Charles E Quaglieri Md Frank C Quaglieri Md | |
|
6630 S Mccarran Blvd Suite 8 Reno NV 89509 | |
| (775) 824-8100 | |
| (775) 824-8112 |
| Full Name | Malcolm D Bacchus Md Charles E Quaglieri Md Frank C Quaglieri Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6630 S Mccarran Blvd, Reno, Nevada |
| Authorized Official Name and Position | Jennifer L Figueroa (OFFICE MANAGER) |
| Authorized Official Contact | 7758248100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malcolm D Bacchus Md Charles E Quaglieri Md Frank C Quaglieri Md 6630 S Mccarran Blvd Suite 8 Reno NV 89509 Ph: (775) 824-8100 | Malcolm D Bacchus Md Charles E Quaglieri Md Frank C Quaglieri Md 6630 S Mccarran Blvd Suite 8 Reno NV 89509 Ph: (775) 824-8100 |
| NPI Number | 1720138860 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/23/2018 |
| Medicare PECOS PAC ID | 2062498934 |
|---|---|
| Medicare Enrollment ID | O20040629001657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720138860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Frank C Quaglieri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841345766 PECOS PAC ID: 4183800907 Enrollment ID: I20110512000204 |
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