Organization
SIERRA HOSPITALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL V JACKSON MD (PRESIDENT)
(775) 329-5001
Entity
Organization
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503
(775) 770-6172
(775) 770-3655
Mailing address
PO BOX 6840, RENO, NV 89513-6840
(775) 329-5001
(775) 329-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1002152194
NV
Other
Enumeration date
01/13/2006
Last updated
08/22/2020
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