Merry Medical Team

NPI 1194791962 - Pediatrics - 208000000X

NPI Details
NPI 1194791962
Enumeration Date 02/23/2006
Last Updated 09/19/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS GORDON THOMAS
Position PRESIDENT
Phone (775) 782-1603
Fax (775) 782-3427
Practice Location
1649 LUCERNE ST
STE A & B
MINDEN NV, 89423-4363, US
Phone (775) 782-1603
Fax (775) 782-3427
Business Location
1111 EMERALD BAY RD
SOUTH LAKE TAHOE CA, 96150-6207, US
Phone (530) 543-5659
Fax (530) 541-8723
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1194791962 NPI Number
 

According to our database, Merry Medical Team NPI is 1194791962, taxonomy code is 208000000X Merry Medical Team physically located at 1649 Lucerne St, Minden NV, 89423-4363. NPI Number 1033115704 has the healthcare provider type.

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1194791962 NPI number is provided on an as is basis without warranty of any kind. 1194791962 is maintained by the National Plan & Provider Enumeration System. The contents of Merry Medical Team are for informational purposes only.