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UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANLLOS NPI 1972872497


NPI Information

NPI: 1972872497
Provider Name: UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANLLOS
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 29D1092343

Address:
5560 KIETZKE LN BLDG A
RENO, NV
ZIP 89511
Phone: (775) 322-7811
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UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANLLOS is an urology in Reno, NV. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANLLOS NPI is 1972872497. The provider is registered as an organization entity type.

The provider's business location address is:

5560 KIETZKE LN BLDG A
RENO, NV
ZIP 89511
Phone: (775) 322-7811
Fax: (775) 334-4191

The provider's authorized official is Stephen Gabelich .
The authorized official title is Cheif Operating Officer and has the following contact phone number (775) 322-7811.

The CLIA number assigned to this NPI record is 29D1092343 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/29/2011 and was last updated on 7/13/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNV20071378617NEVADANo
2208800000XUrologyNV20071378617NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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