Preventive Medicine Consulting, Llc | |
15 Mccabe Dr Ste 203 Reno NV 89511-4816 | |
(530) 539-4121 | |
Not Available |
Full Name | Preventive Medicine Consulting, Llc |
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Speciality | Internal Medicine |
Location | 15 Mccabe Dr Ste 203, Reno, Nevada |
Authorized Official Name and Position | Tanya M Phares (OWNER/PHYSICIAN) |
Authorized Official Contact | 5305394121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Preventive Medicine Consulting, Llc Po Box 19115 Reno NV 89511-0889 Ph: (530) 539-4121 | Preventive Medicine Consulting, Llc 15 Mccabe Dr Ste 203 Reno NV 89511-4816 Ph: (530) 539-4121 |
NPI Number | 1699441303 |
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Provider Enumeration Date | 08/22/2021 |
Last Update Date | 08/22/2021 |
Identifier | Type | State | Issuer |
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1699441303 | NPI | - | NPPES |
1396078002 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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