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Individual

CHRISTOPHER JOHN SCULLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
160 COUNTRY ESTATES CIR, SUITE #2, RENO, NV 89511-4040
(775) 322-9100
(775) 851-4448
Mailing address
160 COUNTRY ESTATES CIR, SUITE #2, RENO, NV 89511-4040
(775) 322-9100
(775) 851-4448

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5990
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002016046
NE
Enumeration date
05/24/2006
Last updated
08/05/2009
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