| Stead Medical Group | |
|
5990 Silver Lake Rd Reno NV 89506-2301 | |
| (775) 972-9100 | |
| (775) 972-9101 |
| Full Name | Stead Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 5990 Silver Lake Rd, Reno, Nevada |
| Authorized Official Name and Position | William T, Miyazaki (PHYSICIAN) |
| Authorized Official Contact | 7759729100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stead Medical Group 5990 Silver Lake Rd Reno NV 89506-2301 Ph: (775) 972-9100 | Stead Medical Group 5990 Silver Lake Rd Reno NV 89506-2301 Ph: (775) 972-9100 |
| NPI Number | 1548440183 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 08/08/2022 |
| Medicare PECOS PAC ID | 5698752558 |
|---|---|
| Medicare Enrollment ID | O20040630000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548440183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 447 (Nevada) | Primary |
| Provider Name | William Toru Miyazaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609904507 PECOS PAC ID: 8921291014 Enrollment ID: I20101021000972 |
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