Northern Nevada Medical LLC

NPI #1629767082 in Fallon, Nevada

Provider Information

NPI Number: 1629767082
Entity Type: Organization
Organization Name: Northern Nevada Medical LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 2, 2023
Last Updated: Jul 6, 2023

Practice Location

Address: 801 E WILLIAMS AVE
City: Fallon
State: Nevada
ZIP Code: 89406-3052
Phone: (602) 821-4517

Authorized Official

Name: JEFF BROUWER
Title: OWNER
Phone: (602) 821-4517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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