Peter R Fenwick, Md | |
75 Pringle Way Ste 505 Reno NV 89502-1469 | |
(775) 786-7216 | |
(775) 786-9365 |
Full Name | Peter R Fenwick, Md |
---|---|
Speciality | Family Medicine |
Location | 75 Pringle Way Ste 505, Reno, Nevada |
Authorized Official Name and Position | Peter R Fenwick (PHYSICIAN/OWNER) |
Authorized Official Contact | 7757867216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peter R Fenwick, Md 75 Pringle Way Ste 505 Reno NV 89502-1469 Ph: (775) 786-7216 | Peter R Fenwick, Md 75 Pringle Way Ste 505 Reno NV 89502-1469 Ph: (775) 786-7216 |
NPI Number | 1083895288 |
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Provider Enumeration Date | 11/16/2007 |
Last Update Date | 02/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083895288 | NPI | - | NPPES |
2016342 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4024 (Nevada) | Primary |
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