| Sierra Vista Medical Associates Llc | |
|
1180 Selmi Dr Suite 201 Reno NV 89512-4776 | |
| (775) 250-7636 | |
| Not Available |
| Full Name | Sierra Vista Medical Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1180 Selmi Dr Suite 201, Reno, Nevada |
| Authorized Official Name and Position | Douglas Vacek (OWNER) |
| Authorized Official Contact | 7752507636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Vista Medical Associates Llc 1180 Selmi Dr Suite 201 Reno NV 89512-4776 Ph: (775) 250-7636 | Sierra Vista Medical Associates Llc 1180 Selmi Dr Suite 201 Reno NV 89512-4776 Ph: (775) 250-7636 |
| NPI Number | 1104089614 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104089614 | NPI | - | NPPES |
| 100501342 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1125 (Nevada) | Primary |
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