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630 Sierra Rose Dr. Suite A1 Reno NV 89511 | |
| (901) 757-3643 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 630 Sierra Rose Dr., Reno, Nevada |
| Authorized Official Name and Position | Teah Michelle Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9012053999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
630 Sierra Rose Dr. Suite A1 Reno NV 89511 Ph: (901) 757-3643 | 630 Sierra Rose Dr. Suite A1 Reno NV 89511 Ph: (901) 757-3643 |
| NPI Number | 1154924785 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154924785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
Functional Medicine Of Nevada Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6490 S Mccarran Blvd Ste 16, Reno, NV 89509 Phone: 208-385-7711 | |
John R. Lemieux Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6630 S. Mccorran Blvd, Building B Suite 16, Reno, NV 89509 Phone: 775-323-5116 Fax: 775-323-7140 | |
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Dr. Gary Danchak, Omd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9393 Gateway Dr, Reno, NV 89521 Phone: 775-849-9800 Fax: 775-849-9801 | |