| Northern Nevada Medical Group, Llc | |
|
2345 E Prater Way Suite 207 Sparks NV 89434-9600 | |
| (775) 352-5300 | |
| (775) 352-5334 |
| Full Name | Northern Nevada Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2345 E Prater Way, Sparks, Nevada |
| Authorized Official Name and Position | Todd Evans (VP) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Nevada Medical Group, Llc 2345 E Prater Way Ste 207 Sparks NV 89434-9600 Ph: (775) 356-9393 | Northern Nevada Medical Group, Llc 2345 E Prater Way Suite 207 Sparks NV 89434-9600 Ph: (775) 352-5300 |
| NPI Number | 1972751618 |
|---|---|
| Provider Enumeration Date | 09/06/2008 |
| Last Update Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972751618 | NPI | - | NPPES |
| DO8810 | Other | NV | RR MEDICARE |
| 1972751618 | Medicaid | NV |
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