Unknown Individual – Physician Assistant, NPI 1659352649
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Virginia Ranch Road, Gardnerville, Douglas County, Nevada, 89460, United States
GARDNERVILLE, NV 894105731
Phone: (775) 782-1550
Fax: (775) 782-1513
Type: Mailing
Ironwood Drive, Minden, Douglas County, Nevada, 89411, United States
SUITE 25108
MINDEN, NV 894235178
Phone: (775) 782-3933
Fax: (775) 783-8889
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89410)
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