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Organization
GINI MOUNTAIN FAMILY MEDICINE LTD
Active
Organization
GINI MOUNTAIN FAMILY MEDICINE LTD
Active
Other names
MOUNTAIN FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN GINI M.D. (MANAGER)
(775) 624-6000
Entity
Organization
Contact information
Practice address
9710 S MCCARRAN BLVD, RENO, NV 89523-9203
(775) 624-6000
(775) 624-6010
Mailing address
9710 S MCCARRAN BLVD, RENO, NV 89523-9203
(775) 624-6000
(775) 624-6010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9483
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR7127
MEDICARE RR
NV
01
—
FB379A
MEDICARE PTAN
NV
Enumeration date
02/22/2011
Last updated
01/19/2012
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