Organization
ELITE SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY GIAMBRONE D.P.M. (OWNER)
(775) 786-5333
Entity
Organization
Contact information
Practice address
1875 PLUMAS ST, STE 6A, RENO, NV 89509-3387
(775) 786-5333
(775) 786-5336
Mailing address
1875 PLUMAS ST, STE 6A, RENO, NV 89509-3321
(775) 786-5333
(775) 786-5336
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2060
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861413445
INDIVIDUAL NPI
NV
Enumeration date
02/28/2008
Last updated
03/13/2008
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