Organization
BEAVER MEDICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PROTHRO M.D. (COO)
(775) 857-2876
Entity
Organization
Contact information
Practice address
5000 SMITHRIDGE DR STE D11, RENO, NV 89502-5654
(775) 857-2876
Mailing address
5000 SMITHRIDGE DR STE D11, RENO, NV 89502-5654
(775) 857-2876
(775) 857-2878
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
7123
NV
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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