Organization
CARSON TAHOE PHYSICIAN CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LAWLEY (VP HR/SUPPORT SERVICES)
(775) 445-8689
Entity
Organization
Contact information
Practice address
925 IRONWOOD DRIVE, SUITE 2107, MINDEN, NV 89423-5180
(775) 445-7838
(775) 445-7898
Mailing address
2874 N. CARSON STREET, SUITE 200, CARSON CITY, NV 89706-0251
(775) 283-3096
(775) 283-3091
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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