Organization
ST. MARY'S CHW PRIMARY CARE PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE GRONHAGEN (CREDENTIALING)
(775) 770-7351
Entity
Organization
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503-4548
(775) 770-7351
Mailing address
PO BOX 9035, RENO, NV 89507-9035
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NV
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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