Individual
SAMANTHA MCGANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
1155 MILL ST, MS M-14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-4196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3087
NV
Other
Enumeration date
05/16/2023
Last updated
02/07/2025
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