Organization
SIERRA NEUROLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRACLE WANGSUWANA D.O. (PARTNER)
(775) 883-4411
Entity
Organization
Contact information
Practice address
896 W NYE LN, SUITE 203, CARSON CITY, NV 89703-1544
(775) 883-4411
(775) 883-1701
Mailing address
896 W NYE LN, SUITE 203, CARSON CITY, NV 89703-1544
(775) 883-4411
(775) 883-1701
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1253
NV
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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