Organization
PRESTIGE PRIMARY PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SCOTT OSBORNE (OWNER)
(775) 762-3383
Entity
Organization
Contact information
Practice address
2305 RIDGE FIELD TRL, RENO, NV 89523-6804
(775) 762-3383
Mailing address
2305 RIDGE FIELD TRL, RENO, NV 89523-6804
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NV20141368596
NV
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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