Organization
INNERTHIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY D GREEN MD (OWNER)
(775) 352-9600
Entity
Organization
Contact information
Practice address
2345 E PRATER WAY, STE. 200, SPARKS, NV 89434-9600
(775) 352-9600
(775) 352-3645
Mailing address
2345 E PRATER WAY, STE. 200, SPARKS, NV 89434-9600
(775) 352-9600
(775) 352-3645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
10/27/2010
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