Organization
SPARKS PEDIATRIC AND ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M WINDISCH MD (PRESIDENT)
(775) 359-7111
Entity
Organization
Contact information
Practice address
975 ROBERTA LN, SUITE 101B, SPARKS, NV 89431-1894
(775) 359-7111
Mailing address
975 ROBERTA LN, SUITE 101B, SPARKS, NV 89431-1894
(775) 359-7111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9023
NV
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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