Nevada Department of Corrections

NPI #1902009897 in Carson City, Nevada

Provider Information

NPI Number: 1902009897
Entity Type: Organization
Organization Name: Nevada Department of Corrections
Primary Specialty: Clinic/Center - Prison Health
Enumeration Date: Jun 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5500 SNYDER AVE
Address 2: ATTENTION MEDICAL DIVISION
City: Carson City
State: Nevada
ZIP Code: 89701-6752
Phone: (775) 887-3223

Authorized Official

Name: DR. ROBERT BRUCE BANNISTER, D.O.
Title: MEDICAL DIRECTOR
Phone: (775) 887-3392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Prison Health — Prison Health	261QP2400X	Primary

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