Individual
GARY SHRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 EUREKA AVE, RENO, NV 89512-3425
(775) 323-5083
Mailing address
PO BOX 60000, LOS ANGELES, CA 90060-6000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G173690
—
CA
Enumeration date
07/18/2006
Last updated
06/09/2008
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