Tahoe Carson Valley Medical Group, Inc.

NPI #1124334776 in Stateline, Nevada

Provider Information

NPI Number
1124334776
Entity Type
Organization
Organization Name
Tahoe Carson Valley Medical Group, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Aug 20, 2010
Last Updated
Sep 19, 2012

Practice Location

Address
155 HWY 50
State
Nevada
ZIP Code
89449-9800
Phone
(775) 589-8900

Authorized Official

Name
DR. GREGORY WALTER BERGNER, MD
Title
PRESIDENT
Phone
(775) 589-8900

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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