Organization
GARRY KIERNAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY JOSEPH KIERNAN MD (PRESIDENT)
(775) 267-5162
Entity
Organization
Contact information
Practice address
1600 MEDICAL PKWY, CARSON TAHOE REGIONAL MEDICAL CENTER, CARSON CITY, NV 89703-4625
(775) 445-8795
(775) 888-4447
Mailing address
122 CALISTOGA RD, #314, SANTA ROSA, CA 95409-3702
(707) 539-0210
(707) 539-0210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G50058
CA
207R00000X
Internal Medicine Physician
G50058
CA
208M00000X
Hospitalist Physician
Primary
G50058
CA
Other
Enumeration date
09/05/2006
Last updated
09/23/2009
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