| Blizz, Inc | |
|
14235 Eagle Springs Ct Reno NV 89511-6773 | |
| (850) 687-9608 | |
| Not Available |
| Full Name | Blizz, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14235 Eagle Springs Ct, Reno, Nevada |
| Authorized Official Name and Position | Robert Conner (CONSULTANT) |
| Authorized Official Contact | 7757210457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blizz, Inc 14235 Eagle Springs Ct Reno NV 89511-6773 Ph: () - | Blizz, Inc 14235 Eagle Springs Ct Reno NV 89511-6773 Ph: (850) 687-9608 |
| NPI Number | 1861031569 |
|---|---|
| Provider Enumeration Date | 12/27/2019 |
| Last Update Date | 04/20/2020 |
| Medicare PECOS PAC ID | 5799115580 |
|---|---|
| Medicare Enrollment ID | O20200418000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861031569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Damon C Zavala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437122835 PECOS PAC ID: 5294784567 Enrollment ID: I20050113001011 |
| Provider Name | Joseph W. Heflin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447201447 PECOS PAC ID: 6406749381 Enrollment ID: I20140528001437 |
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