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Organization

CARSON MEDICAL GROUP PROFESSIONAL CORPORATION

Active
Other names
Carson Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE CAMPER (CREDENTIALING SPECIALIST)
(775) 883-5555
Entity
Organization

Contact information

Practice address
1946 OLD HOT SPRINGS RD, CARSON CITY, NV 89706-0674
(775) 283-5050
Mailing address
1946 OLD HOT SPRINGS RD, CARSON CITY, NV 89706-0674
(775) 283-5050
(775) 882-2382

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207V00000X
Obstetrics & Gynecology Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician

Other

Enumeration date
08/09/2006
Last updated
12/12/2024
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