| Prestige Primary Providers | |
|
2305 Ridge Field Trl Reno NV 89523-6804 | |
| (775) 762-3383 | |
| Not Available |
| Full Name | Prestige Primary Providers |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2305 Ridge Field Trl, Reno, Nevada |
| Authorized Official Name and Position | Timothy Scott Osborne (OWNER) |
| Authorized Official Contact | 7757623383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Primary Providers 2305 Ridge Field Trl Reno NV 89523-6804 Ph: () - | Prestige Primary Providers 2305 Ridge Field Trl Reno NV 89523-6804 Ph: (775) 762-3383 |
| NPI Number | 1134532773 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134532773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | NV20141368596 (Nevada) | Primary |
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