Individual
TIMOTHY GLENN GENTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 MOUNTAIN ST, CARSON CITY, NV 89703-3821
(775) 882-1324
(775) 882-3859
Mailing address
1200 MOUNTAIN ST, CARSON CITY, NV 89703-3821
(775) 882-1324
(775) 882-3859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7494
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013133
—
NV
Enumeration date
04/06/2006
Last updated
10/07/2010
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