Individual
DR. SANDRA JILL ALTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2874 N CARSON ST, SUITE 300, CARSON CITY, NV 89706-0251
(775) 445-5500
(775) 852-6902
Mailing address
PO BOX 2087, CARSON CITY, NV 89702-2087
(775) 445-5500
(775) 852-6902
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13664
NV
2085R0202X
Diagnostic Radiology Physician
3082748-1205
UT
2085R0202X
Diagnostic Radiology Physician
MD29060
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11306764
CAQH
—
01
—
1326048018
NPI
—
01
—
DQ837W
MEDICARE TCR NV
NV
01
—
DQ837X
MEDICARE TCR CA
CA
Enumeration date
07/26/2005
Last updated
12/18/2017
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