Individual
STEVEN VICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 SIERRA ROSE DR, RENO, NV 89511-2072
(775) 322-4550
(775) 322-4776
Mailing address
670 SIERRA ROSE DR, RENO, NV 89511-2072
(775) 322-4550
(775) 322-4776
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5434
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016893
—
NV
Enumeration date
08/29/2006
Last updated
01/02/2013
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