Provider First Line Business Practice Location Address:
1600 MEDICAL PARKWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARSON CITY
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-445-8000
Provider Business Practice Location Address Fax Number:
775-445-8368
Provider Enumeration Date:
12/05/2006