Organization
UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANLLOS
Active
Parent organization
UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS
Organization subpart
Yes
Provider details
NPI number
Legal business name
UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS
Authorized official
MR. STEPHEN GABELICH FACMPE (CHEIF OPERATING OFFICER)
(775) 322-7811
Entity
Organization
Contact information
Practice address
5560 KIETZKE LN BLDG A, RENO, NV 89511
(775) 322-7811
(775) 334-4191
Mailing address
5560 KIETZKE LN BLDG A, RENO, NV 89511
(775) 322-7811
(775) 334-4191
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
NV20071378617
NV
332B00000X
Durable Medical Equipment & Medical Supplies
NV20071378617
NV
Other
Enumeration date
12/29/2011
Last updated
07/13/2018
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