| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Ryland St, Reno, Nevada |
| Authorized Official Name and Position | Donald Vandyken (PRESIDENT) |
| Authorized Official Contact | 7757863555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
900 Ryland St Reno NV 89502-1605 Ph: (775) 786-3555 | 900 Ryland St Reno NV 89502-1605 Ph: (775) 786-3555 |
| NPI Number | 1215120035 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215120035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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