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Organization
SIERRA PODIATRY CENTER, LLP
Active
Organization
SIERRA PODIATRY CENTER, LLP
Active
Other names
Sierra Podiatry Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY K BEAN DPM (OWNER)
(775) 882-1441
Entity
Organization
Contact information
Practice address
1801 N CARSON ST, CARSON CITY, NV 89701-1216
(775) 882-1441
Mailing address
1801 N CARSON ST, CARSON CITY, NV 89701-1216
(775) 882-1441
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0101
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA 674338
—
NV
Enumeration date
10/17/2006
Last updated
03/02/2017
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