Carson Tahoe Physician Hospital Organization, LLC

NPI #1063169829 in Carson City, Nevada

Provider Information

NPI Number
1063169829
Entity Type
Organization
Organization Name
Carson Tahoe Physician Hospital Organization, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CARSON TAHOE REGIONAL HEALTHCARE
Primary Specialty
Anesthesiology
Enumeration Date
Mar 2, 2022
Last Updated
Mar 2, 2022

Practice Location

Address
1600 MEDICAL PKWY
State
Nevada
ZIP Code
89703-4625
Phone
(775) 445-8000

Authorized Official

Name
KATIE KUCERA
Title
DIRECTOR OF FINANCE
Phone
(775) 445-7917

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine
Nurse Anesthetist, Certified Registered
Anesthesiology

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