Sugar Pine Family Medicine P.c., Paul Smith, Md, Et Al | |
5542 Longley Ln Reno NV 89511-1886 | |
(775) 321-1044 | |
(775) 851-6862 |
Full Name | Sugar Pine Family Medicine P.c., Paul Smith, Md, Et Al |
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Speciality | Family Medicine |
Location | 5542 Longley Ln, Reno, Nevada |
Authorized Official Name and Position | Karen M Phillips (OFFICE MANAGER) |
Authorized Official Contact | 7753211044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sugar Pine Family Medicine P.c., Paul Smith, Md, Et Al 5542 Longley Ln Reno NV 89511-1886 Ph: (775) 321-1044 | Sugar Pine Family Medicine P.c., Paul Smith, Md, Et Al 5542 Longley Ln Reno NV 89511-1886 Ph: (775) 321-1044 |
NPI Number | 1598215493 |
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Provider Enumeration Date | 10/04/2016 |
Last Update Date | 10/28/2020 |
Medicare PECOS PAC ID | 6406137025 |
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Medicare Enrollment ID | O20170113001772 |
Identifier | Type | State | Issuer |
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1598215493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 8731 (Nevada) | Primary |
Provider Name | Ryan Gini |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164471769 PECOS PAC ID: 2961493382 Enrollment ID: I20040524000151 |
Provider Name | Marjorie L Uhalde |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669568515 PECOS PAC ID: 7012934086 Enrollment ID: I20100222000107 |
Provider Name | Paul R Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912093964 PECOS PAC ID: 3476641085 Enrollment ID: I20100222000201 |
Provider Name | Kacey N Durant |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023307030 PECOS PAC ID: 9739312414 Enrollment ID: I20151009002033 |
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