Individual
DR. JOHN S TKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 N 5TH ST, ELKO, NV 89801-4456
(775) 753-6400
(775) 753-3551
Mailing address
308 ROLLING HILLS DR, ELKO, NV 89801-2446
(775) 388-1299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14538
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063476422
—
NV
Enumeration date
04/13/2006
Last updated
04/12/2023
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