Organization
SIERRA NEUROSURGERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA GALLEGOS (CEO)
(775) 789-3930
Entity
Organization
Contact information
Practice address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
(775) 323-8216
Mailing address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
(775) 323-8216
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508864
—
NV
Enumeration date
11/01/2007
Last updated
03/08/2022
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