Individual
DR. STACEY PEEL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
745 W MOANA LN STE 300, RENO, NV 89509-4980
(775) 682-8497
Mailing address
1664 N VIRGINIA ST # MS 0316, RENO, NV 89557-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A199217
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LL4617
NV
Other
Enumeration date
04/02/2019
Last updated
06/14/2026
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