| NPI | 1477970325 |
|---|---|
| Other Name | RENO FAMILY MEDICAL CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | MARY ANN PETTIT Credentialing 888-737-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV 11950) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2018-10-18 |