| NPI | 1265958862 |
|---|---|
| Doing Business As | PEAVINE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RICARDO J. GONZALEZ Owner 775-624-6492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 10279) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NV 10279) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |