Wildcreek Family Medical Center | |
2125 Green Vista Dr Suite 106 Sparks NV 89431-8545 | |
(775) 673-6681 | |
(775) 673-6682 |
Full Name | Wildcreek Family Medical Center |
---|---|
Speciality | Family Medicine |
Location | 2125 Green Vista Dr, Sparks, Nevada |
Authorized Official Name and Position | Phillis Maxine Boyd (OWNER) |
Authorized Official Contact | 7756736681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wildcreek Family Medical Center 2125 Green Vista Dr Suite 106 Sparks NV 89431-8545 Ph: (775) 673-6681 | Wildcreek Family Medical Center 2125 Green Vista Dr Suite 106 Sparks NV 89431-8545 Ph: (775) 673-6681 |
NPI Number | 1619007176 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 12/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619007176 | NPI | - | NPPES |
DB9089 | Other | NV | RRMEDICARE |
002016380 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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