Organization
NORTHERN NEVADA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (VICE-PRESIDENT)
(610) 768-3300
Entity
Organization
Contact information
Practice address
2385 E PRATER WAY, SUITE 300, SPARKS, NV 89434-9629
(775) 356-4888
(775) 356-4890
Mailing address
367 S GULPH RD, C/O REIMBURSEMENT, KING OF PRUSSIA, PA 19406-3121
(610) 382-4351
(775) 356-5590
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/17/2012
Last updated
06/27/2019
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