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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