| Full Name | |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 6130 Plumas St, Reno, Nevada |
| Authorized Official Name and Position | Brett Moore (CFO ACUTE CARE) |
| Authorized Official Contact | 7759826343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1155 Mill St # M14 Reno NV 89502-1576 Ph: (775) 982-5252 | 6130 Plumas St Reno NV 89519-6060 Ph: (775) 982-1000 |
| NPI Number | 1518155084 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518155084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Nevada) | Primary |
| 310400000X | Assisted Living Facility | (* (Not Available)) | Secondary |
Functional Medicine Of Nevada Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6490 S Mccarran Blvd Ste 16, Reno, NV 89509 Phone: 208-385-7711 | |
John R. Lemieux Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6630 S. Mccorran Blvd, Building B Suite 16, Reno, NV 89509 Phone: 775-323-5116 Fax: 775-323-7140 | |
Kelly King Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Sharon Way, Reno, NV 89509 Phone: 775-376-1507 | |
Dr. Gary Danchak, Omd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9393 Gateway Dr, Reno, NV 89521 Phone: 775-849-9800 Fax: 775-849-9801 | |