Organization · Type 2 NPI

Pride Medical Spa and Wellness Center Inc

Family Medicine Physician · Reno, NV

NPI number 1861036063 Active

Practice location

6380 Mae Anne Ave, Unit 7
Reno, NV 89523-4712

Fax (775) 432-1002

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Francisco L. Dofeliz, MDFamily Medicine Physician Reno, NV NPI 1891043832

Other family medicine physician providers in Reno

See all in Reno →

NPI record

NPI: 1861036063
Entity type: Organization (Type 2)
Issued: Oct 30, 2019
Last updated: Apr 24, 2024
Status: Active

Other names

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Radiance Ketamine Clinic · doing business as
Radiance Ketamine Clinic · doing business as

Authorized official

Mr. Greg Jones, CRNA
Clinic Administrator
(775) 432-1500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861036063

Pride Medical Spa and Wellness Center Inc's National Provider Identifier is 1861036063, issued on Oct 30, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Reno, NV. The record was last updated on Apr 24, 2024.