# SIERRA NEUROLOGY LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164599478
- **Authorized official:** MIRACLE WANGSUWANA D.O. (PARTNER)
- **Authorized official phone:** (775) 883-4411

## Contact information

- **Practice address:** 896 W NYE LN, SUITE 203, CARSON CITY, NV 89703-1544
- **Practice address phone:** (775) 883-4411
- **Practice address fax:** (775) 883-1701
- **Mailing address:** 896 W NYE LN, SUITE 203, CARSON CITY, NV 89703-1544
- **Mailing address phone:** (775) 883-4411
- **Mailing address fax:** (775) 883-1701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1253 | NV | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020