Provider First Line Business Practice Location Address:
900 N VIRGINIA STREET
Provider Second Line Business Practice Location Address:
UNR SPORTS MEDICINE COMPLEX
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89557-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-784-1999
Provider Business Practice Location Address Fax Number:
775-784-1995
Provider Enumeration Date:
08/29/2007