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Organization

UROLOGY NEVADA LTD

Active
Other names
Urology Nevada
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN GABELICH (BILLING MANAGER)
(775) 322-7811
Entity
Organization

Contact information

Practice address
5560 KIETZKE LN., BLDG. A, RENO, NV 89511
(775) 322-7811
(775) 322-1431
Mailing address
5560 KIETZKE LN., BLDG. A, RENO, NV 89511
(775) 322-7811
(775) 322-1431

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
2085R0001X
Radiation Oncology Physician
208800000X
Urology Physician
Primary
261QX0203X
Radiation Oncology Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
NV20071378617
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2994982
NEVADA STATE BOARD OF PHARMACY
NV
Enumeration date
04/13/2007
Last updated
01/08/2024
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