# UROLOGY NEVADA LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urology Nevada
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316162795
- **Authorized official:** STEPHEN GABELICH (BILLING MANAGER)
- **Authorized official phone:** (775) 322-7811

## Contact information

- **Practice address:** 5560 KIETZKE LN., BLDG. A, RENO, NV 89511
- **Practice address phone:** (775) 322-7811
- **Practice address fax:** (775) 322-1431
- **Mailing address:** 5560 KIETZKE LN., BLDG. A, RENO, NV 89511
- **Mailing address phone:** (775) 322-7811
- **Mailing address fax:** (775) 322-1431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | NV20071378617 | NV | — |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 01/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2994982 | NEVADA STATE BOARD OF PHARMACY | NV |