Organization
THE NEVADA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK ANTHONY SHALLENBERGER MD (MEDICAL DIRECTOR)
(775) 884-3990
Entity
Organization
Contact information
Practice address
1231 COUNTRY CLUB DR, CARSON CITY, NV 89703-8372
(775) 884-3990
(775) 884-2202
Mailing address
1231 COUNTRY CLUB DR, CARSON CITY, NV 89703-8372
(775) 884-3990
(775) 884-2202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4951
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346300035
NONE
NV
Enumeration date
12/17/2014
Last updated
12/17/2014
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