| High Desert Family Medicine Inc. | |
|
2345 E Prater Way Ste. 301 Sparks NV 89434-9600 | |
| (775) 352-3520 | |
| (775) 352-3523 |
| Full Name | High Desert Family Medicine Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2345 E Prater Way, Sparks, Nevada |
| Authorized Official Name and Position | Ronald B Hicks (OWNER) |
| Authorized Official Contact | 7753523520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Family Medicine Inc. 2345 E Prater Way Ste. 301 Sparks NV 89434-9600 Ph: (775) 352-3520 | High Desert Family Medicine Inc. 2345 E Prater Way Ste. 301 Sparks NV 89434-9600 Ph: (775) 352-3520 |
| NPI Number | 1235369646 |
|---|---|
| Provider Enumeration Date | 07/20/2009 |
| Last Update Date | 07/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235369646 | NPI | - | NPPES |
| 1326044520 | Medicaid | NV | |
| 1235369646 | Other | NV | MEDICAID GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7996 (Nevada) | Primary |
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