NPI 1043608243

Washoe Tribe of Nevada and California

Organisation General Practice Physician Gardnerville, NV

Practice location

Address: 1559 Watasheamu, Gardnerville, NV 89460-7455
Phone: (775) 265-4215
Fax: (775) 265-6071

Authorised official

Name: Roseann Kizer
Title: Credentialing Coordinator
Phone: (775) 265-4215

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Nevada →

Registry record

NPI: 1043608243
Entity type: Organization
NPI issued: 23 Dec 2014
Record last updated: 23 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.