Individual
DR. TANYA MARINA PHARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
1500 E 2ND ST STE 302, RENO, NV 89502-1198
(775) 982-5000
(775) 982-3900
Mailing address
1689 ASPEN CREEK RD, RENO, NV 89519-0685
(775) 750-8777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO1680
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12333096
CAQH
—
05
—
1396078002
—
NV
Enumeration date
09/13/2009
Last updated
12/04/2018
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