NPI 1174868392

Vestige Project

Organisation Exclusive Provider Organization Reno, NV

Practice location

Address: 620 E Plumb Ln, Reno, NV 89502-3536
Phone: (775) 825-3043

Authorised official

Name: Jerame Troy Vancil
Title: Psr
Phone: (510) 967-5298

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 0804464530 (NV)

Other Exclusive Provider Organization providers in Nevada →

Registry record

NPI: 1174868392
Entity type: Organization
NPI issued: 28 Nov 2012
Record last updated: 28 Nov 2012

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.