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9120 Double Diamond Pkwy Reno NV 89521 | |
| (775) 204-0150 | |
| (775) 501-6360 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9120 Double Diamond Pkwy, Reno, Nevada |
| Authorized Official Name and Position | Christopher Charles Highley (PRESIDENT) |
| Authorized Official Contact | 7752040150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9120 Double Diamond Pkwy Reno NV 89521-4842 Ph: (775) 204-0150 | 9120 Double Diamond Pkwy Reno NV 89521 Ph: (775) 204-0150 |
| NPI Number | 1417433483 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417433483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | NV20181428634 (Nevada) | Primary |
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