RENO REGENERATIVE MEDICINE NPI 1356828016

NPI Information

RENO REGENERATIVE MEDICINE is a general practice in Reno, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RENO REGENERATIVE MEDICINE NPI is 1356828016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9437 DOUBLE DIAMOND PKWY STE 18
RENO, NV
ZIP 89521-968
Phone: (775) 683-9026
Fax: (775) 683-9017

The provider's authorized official is Lloyd L Decker .
The authorized official title is Owner and has the following contact phone number (775) 683-9026.

The CLIA number assigned to this NPI record is 29D2185636 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2018 and was last updated on 7/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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