| Desert Sage Medical | |
|
844 W Nye Ln #201 Carson City NV 89703-1544 | |
| (775) 884-2929 | |
| (775) 884-0426 |
| Full Name | Desert Sage Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 844 W Nye Ln, Carson City, Nevada |
| Authorized Official Name and Position | John Kevin Bower (OWNER) |
| Authorized Official Contact | 7758842929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Sage Medical 844 W Nye Ln #201 Carson City NV 89703-1544 Ph: (775) 884-2929 | Desert Sage Medical 844 W Nye Ln #201 Carson City NV 89703-1544 Ph: (775) 884-2929 |
| NPI Number | 1881693570 |
|---|---|
| Provider Enumeration Date | 07/15/2005 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881693570 | NPI | - | NPPES |
| 002013038 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6493 (Nevada) | Primary |
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