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Contact Information

UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS
5560 KIETZKE LN
BLDG. A
RENO, NV89511
 Phone: 775-322-7811
 Fax: 775-322-1431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS

NPI # 1790055473
LBN Legal business name UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS
Authorized official STEPHEN GABELICH - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/11/2012
Last updated 07/12/2018 - About 8 years ago
Identifiers
NV License # NV20071378617
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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