SIERRA PLASTIC SURGERY LLC NPI 1538157169

NPI Information

SIERRA PLASTIC SURGERY LLC is a plastic and reconstructive surgery surgery in Carson City, NV. The provider is a surgeon who specializes in plastic and reconstructive surgery. SIERRA PLASTIC SURGERY LLC NPI is 1538157169. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

904 N NEVADA ST
CARSON CITY, NV
ZIP 89703-934
Phone: (775) 841-9090
Fax: (757) 841-9091

The provider's authorized official is Boris Volshteyn .
The authorized official title is Ceo and has the following contact phone number (775) 841-9090.

The CLIA number assigned to this NPI record is 29D2229400 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 7/21/2022.

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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