Organization
NORTHERN NEVADA PLASTIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY LYNNE TIEARNEY (ADMINISTRATOR)
(775) 322-3446
Entity
Organization
Contact information
Practice address
10401 DOUBLE R BLVD, RENO, NV 89521-8905
(775) 322-4529
Mailing address
10401 DOUBLE R BLVD, RENO, NV 89521-8905
(775) 322-4529
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
05/10/2017
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