# UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANLLOS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972872497
- **Legal business name:** UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS
- **Authorized official:** MR. STEPHEN GABELICH FACMPE (CHEIF OPERATING OFFICER)
- **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) 334-4191
- **Mailing address:** 5560 KIETZKE LN BLDG A, RENO, NV 89511
- **Mailing address phone:** (775) 322-7811
- **Mailing address fax:** (775) 334-4191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | NV20071378617 | NV | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | NV20071378617 | NV | — |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 07/13/2018