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Individual

DR. MARK W VINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
145 ISIDOR CT, SUITE A, SPARKS, NV 89441-6304
(775) 772-6015
Mailing address
145 ISIDOR CT, SUITE A, SPARKS, NV 89441-6304
(775) 772-6015

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6983
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497080956
NPI TYPE 2 ORGANIZATIONAL
NV
Enumeration date
08/18/2006
Last updated
12/15/2010
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