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THE NORTHERN NV ENDOSCOPY ASC LLC

Surgery Yellow Pages

Reno, Nevada

Provider NPI: 1740254572

Organization Information:
Organization Name:  THE NORTHERN NV ENDOSCOPY ASC LLC


Practice Location:
5250 KIETZKE LN  RENO, NV 89511 US
Tel: 775-829-8855  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
NV470ASC-12

Other Provider Identifiers:

IssuerNumberStateType
PALMETTO GBA-TRICARE2004701NV01
100503331NV05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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