Individual
SQUIRE HEPWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703
(775) 445-8795
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MRM-1498
ID
208M00000X
Hospitalist Physician
Primary
18140
NV
Other
Enumeration date
06/22/2015
Last updated
09/06/2018
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