| Functional Medicine Of Nevada Pllc | |
|
6490 S Mccarran Blvd Ste 16 Reno NV 89509-6165 | |
| (208) 385-7711 | |
| Not Available |
| Full Name | Functional Medicine Of Nevada Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6490 S Mccarran Blvd Ste 16, Reno, Nevada |
| Authorized Official Name and Position | Sam Warren (CEO) |
| Authorized Official Contact | 2083857711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Medicine Of Nevada Pllc 3858 N Garden Center Way Ste 100 Boise ID 83703-5008 Ph: (208) 385-7711 | Functional Medicine Of Nevada Pllc 6490 S Mccarran Blvd Ste 16 Reno NV 89509-6165 Ph: (208) 385-7711 |
| NPI Number | 1003409319 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003409319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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