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PROVIDER NETWORK, INC

Organization (NPI-2) Active

Family Medicine

Provider Information

NPI Number
1508811084
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1343 NEWLANDS DR W, FERNLEY, NV, 894088926
Phone
(775) 982-5000
Fax
(775) 982-6504

Specialties & Taxonomies

Family Medicine Primary License: NV

All Addresses

LOCATION

1343 NEWLANDS DR W

FERNLEY, NV, 894088926

(775) 982-5000

MAILING

1155 MILL ST # M14

RENO, NV, 895021576

(775) 982-5262