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Specialty details in registry · Reno, NV

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At a glance

10880 Deodar Way, Reno, NV 89506-9064

NPPES record updated May 24, 2011. Public records can lag behind changes at a practice.

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Practice location

10880 Deodar Way
Reno, NV 89506-9064

Professional details: NPI, taxonomy & registry record

NPI1154614105

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 320800000X
Enumeration date: May 24, 2011
Record updated: May 24, 2011

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

320800000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10880 Deodar Way
Reno, NV 89506-9064

Phone: (775) 786-4168
Fax: (775) 786-5622

Mailing address

10880 DEODAR WAY

RENO, NV 895069064

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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