Individual
JEFFREY JOHNTHOMAS MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
235 W 6TH ST, RENO, NV 89503-4548
(775) 770-3000
Mailing address
1795 FAIRFIELD AVE, RENO, NV 89509-3221
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1300
NV
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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