Organization
CARSON TAHOE PHYSICIAN CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA ROMO (ADMIN ASSIST)
(775) 283-3096
Entity
Organization
Contact information
Practice address
925 IRONWOOD DR, SUITE 2103, MINDEN, NV 89423-5178
(775) 445-7885
Mailing address
2874 N CARSON ST, SUITE 200, CARSON CITY, NV 89706-0251
(775) 283-3096
(775) 283-3091
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4143
NV
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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