Organization
SIERRA NEVADA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HOWARD JOHNSON MD (PRESIDENT)
(775) 782-8186
Entity
Organization
Contact information
Practice address
1624 LIBRARY LANE, SUITE B, MINDEN, NV 89423
(775) 782-8186
(775) 782-4683
Mailing address
1077 FOURTH STREET, SUITE 12, SOUTH LAKE TAHOE, CA 96150
(530) 543-5640
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NV
Other
Enumeration date
02/15/2006
Last updated
07/21/2022
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