Eastern Sierra Medical Group LLC

NPI #1639535255 in Tonopah, Nevada

Provider Information

NPI Number: 1639535255
Entity Type: Organization
Organization Name: Eastern Sierra Medical Group LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HOMETOWN HEALTH MANAGEMENT COMPANY
Primary Specialty: Family Medicine
Enumeration Date: Jan 12, 2016
Last Updated: Jun 6, 2024

Practice Location

Address: 825 S MAIN ST
City: Tonopah
State: Nevada
ZIP Code: 89049
Phone: (775) 482-8693

Authorized Official

Name: MR. BRETT MOORE
Title: CFO ACUTE CARE
Phone: (775) 982-6343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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