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Organization

CARSON TAHOE PHYSICIAN CLINICS

Active
Parent organization
CARSON TAHOE PHYSICIAN CLINICS
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARSON TAHOE PHYSICIAN CLINICS
Authorized official
JAMES M HINEY (DIRECTOR)
(775) 445-7290
Entity
Organization

Contact information

Practice address
3770 US HWY 395 SO, CARSON CITY, NV 89705-6898
(775) 445-7220
(775) 445-7271
Mailing address
1201 S. CARSON STREET, CARSON CITY, NV 89701
(775) 445-7337
(775) 841-1139

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
363L00000X
Nurse Practitioner
APN00519
NV

Other

Enumeration date
09/21/2010
Last updated
10/18/2011
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