Shoshone Paiute Tribes

NPI #1790184554 in Owyhee, Nevada

Provider Information

NPI Number
1790184554
Entity Type
Organization
Organization Name
Shoshone Paiute Tribes
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Aug 18, 2014
Last Updated
Aug 18, 2014

Practice Location

Address
1623 HOSPITAL LOOP
City
Owyhee
State
Nevada
ZIP Code
89832-1200
Phone
(775) 757-2415

Authorized Official

Name
ANTHONY MARSHALL
Title
TRIBAL HEALTH ADMINISTRATOR
Phone
(775) 757-2415

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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