Individual
DR. STACEY ALLEN FINLEY HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10735 DOUBLE R BLVD, RENO, NV 89521-8977
(775) 852-3624
(775) 852-3672
Mailing address
10735 DOUBLE R BLVD, SUITE A12, RENO, NV 89521-8977
(775) 852-3624
(775) 852-3672
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10393
NV
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
10393
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500145
—
NV
Enumeration date
01/27/2006
Last updated
07/17/2017
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