Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 1000 Locust 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) 982-5262 | 1000 Locust St Reno NV 89502-2597 Ph: (775) 982-5000 |
NPI Number | 1780721480 |
---|---|
Provider Enumeration Date | 01/31/2007 |
Last Update Date | 06/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780721480 | NPI | - | NPPES |
100500708 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (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 | |