Unknown Individual – Family Medicine Physician, NPI 1639535255
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
850 HARVARD WAY
RENO, NV 895022055
Phone: (775) 982-5262
Fax: (775) 982-5496
Type: Mailing
1155 MILL ST # M14
RENO, NV 895021576
Phone: (775) 982-5262
Fax: (775) 982-5496
Type: Mailing
825 S MAIN ST
TONOPAH, NV 89049
Phone: (775) 482-8693
Fax: (775) 482-6431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89502)
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