Organization
WESTERN NEVADA FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MOONEY D.P.M. (PRESIDENT)
(775) 284-3668
Entity
Organization
Contact information
Practice address
15 MCCABE DR, SUITE 203, RENO, NV 89511-5991
(775) 284-3668
(775) 284-4254
Mailing address
PO BOX 39000, DEPT 34159, SAN FRANCISCO, CA 94139-0001
(775) 284-3668
(775) 284-4254
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5177
RAILROAD MEDICARE PIN
NV
Enumeration date
03/30/2007
Last updated
07/15/2010
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