| Mountain Family Medicine | |
|
9710 S Mccarran Blvd Reno NV 89523-9203 | |
| (775) 624-6000 | |
| (775) 624-6010 |
| Full Name | Mountain Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 9710 S Mccarran Blvd, Reno, Nevada |
| Authorized Official Name and Position | Ryan Gini (MANAGER) |
| Authorized Official Contact | 7756246000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Family Medicine 9710 S Mccarran Blvd Reno NV 89523-9203 Ph: (775) 624-6000 | Mountain Family Medicine 9710 S Mccarran Blvd Reno NV 89523-9203 Ph: (775) 624-6000 |
| NPI Number | 1053618348 |
|---|---|
| Provider Enumeration Date | 02/22/2011 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053618348 | NPI | - | NPPES |
| DR7127 | Other | NV | MEDICARE RR |
| FB379A | Other | NV | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9483 (Nevada) | Primary |
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