Organization
NEVADA DEPARTMENT OF CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE BANNISTER D.O. (MEDICAL DIRECTOR)
(775) 887-3392
Entity
Organization
Contact information
Practice address
5500 SNYDER AVE, ATTENTION MEDICAL DIVISION, CARSON CITY, NV 89701-6752
(775) 887-3223
Mailing address
5500 SNYDER AVE, ATTENTION MEDICAL DIVISION, CARSON CITY, NV 89701-6752
(775) 887-3223
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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