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Individual

DR. RICHARD ALLEN EDMISTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 356-4900
Mailing address
4324 DANT BLVD, RENO, NV 89509-7017
(775) 827-6292
(775) 827-1032

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4410
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002016811
NV
Enumeration date
11/26/2006
Last updated
05/01/2014
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