Carson Tahoe Physician Clinics - Minden #3

NPI #1023311784 in Minden, Nevada

Provider Information

NPI Number: 1023311784
Entity Type: Organization
Organization Name: Carson Tahoe Physician Clinics - Minden #3
Primary Specialty: Family Medicine
Enumeration Date: Dec 17, 2010
Last Updated: Dec 17, 2010

Practice Location

Address: 925 IRONWOOD DR
Address 2: SUITE 2105
City: Minden
State: Nevada
ZIP Code: 89423-5178
Phone: (775) 445-7745

Authorized Official

Name: YOLANDA ROMO
Title: CREDENTIALING COORDINATOR
Phone: (775) 283-3096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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