Organization
PEAVINE PODIATRIC PHYSICIANS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COROLINDA SEHELASA HELU (DPM/OWNER)
(775) 746-3338
Entity
Organization
Contact information
Practice address
645 N ARLINGTON AVE, STE 660, RENO, NV 89503-4505
(775) 746-3338
(775) 746-3343
Mailing address
PO BOX 5981, RENO, NV 89513-5981
(775) 746-3338
(775) 746-3343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0107
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC8579
BC/BS PROVIDER NUMBER
NV
Enumeration date
07/10/2006
Last updated
03/07/2023
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