Organization
NORTHERN NEVADA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BROUWER (OWNER)
(602) 821-4517
Entity
Organization
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(602) 821-4517
Mailing address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
07/06/2023
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