| Carson Tahoe Endocrinology Llc | |
|
1177 N Division St Suite 3 Carson City NV 89703-3874 | |
| (775) 841-6333 | |
| (775) 841-3304 |
| Full Name | Carson Tahoe Endocrinology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1177 N Division St, Carson City, Nevada |
| Authorized Official Name and Position | John R Sutton (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7758416333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Tahoe Endocrinology Llc 1177 N Division St Suite 3 Carson City NV 89703-3874 Ph: (775) 841-6333 | Carson Tahoe Endocrinology Llc 1177 N Division St Suite 3 Carson City NV 89703-3874 Ph: (775) 841-6333 |
| NPI Number | 1407291412 |
|---|---|
| Provider Enumeration Date | 05/03/2013 |
| Last Update Date | 05/03/2013 |
| Medicare PECOS PAC ID | 4284874124 |
|---|---|
| Medicare Enrollment ID | O20130717000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407291412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 1092 (Nevada) | Primary |
| Provider Name | John R Sutton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801812631 PECOS PAC ID: 0840211314 Enrollment ID: I20051212000778 |
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