Organization
MICOLER, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEROY PROTHRO M.D. (CEO)
(775) 322-4449
Entity
Organization
Contact information
Practice address
1715 KUENZLI ST, RENO, NV 89502-1117
(775) 857-2876
(775) 857-2878
Mailing address
5000 SMITHRIDGE DRIVE, D11, RENO, NV 89502-5654
(775) 857-2876
(775) 857-2878
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
NV
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
NV
207RI0011X
Interventional Cardiology Physician
—
NV
207UN0901X
Nuclear Cardiology Physician
—
NV
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us