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Contact Information

CARSON TAHOE PHYSICIAN CLINICS
925 IRONWOOD DR
#2108
MINDEN, NV89423-5178
 Phone: 775-445-7929
 Fax: 775-783-8889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CARSON TAHOE PHYSICIAN CLINICS · (Female)

NPI # 1588895874
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2009
Last updated 08/04/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NV Medicaid 1023265717
  • NV Other 1023265717 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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