| Alpine Family Medicine, Llc | |
|
1959 E Prater Way Sparks NV 89434-8938 | |
| (775) 331-5200 | |
| (775) 331-5202 |
| Full Name | Alpine Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1959 E Prater Way, Sparks, Nevada |
| Authorized Official Name and Position | Andrew J Swanson (OWNER) |
| Authorized Official Contact | 7753315200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Family Medicine, Llc 1959 E Prater Way Sparks NV 89434-8938 Ph: (775) 331-5200 | Alpine Family Medicine, Llc 1959 E Prater Way Sparks NV 89434-8938 Ph: (775) 331-5200 |
| NPI Number | 1659401511 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 03/14/2008 |
| Medicare PECOS PAC ID | 2264523117 |
|---|---|
| Medicare Enrollment ID | O20070807000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659401511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew J Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740267020 PECOS PAC ID: 3779518956 Enrollment ID: I20050927001366 |
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