| NPI | 1396517553 |
|---|---|
| Doing Business As | TAHOE REGENERATIVE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ALISON GANONG President 530-945-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |