Organization
UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO
Active
Other names
MedSchool Associates South
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA J. PALMER MD (PRESIDENT)
(702) 992-6888
Entity
Organization
Contact information
Practice address
890 MILL ST, 102, RENO, NV 89502-1442
(775) 322-2731
(775) 322-2790
Mailing address
PO BOX 29506, LAS VEGAS, NV 89126-9506
(702) 968-4371
(702) 671-5170
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
000640
NV
363L00000X
Nurse Practitioner
Primary
000640
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500484
—
NV
05
—
2416097
—
NV
Enumeration date
03/13/2007
Last updated
10/14/2015
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