| Doctor Name: | DR. TANYA MARINA PHARES |
| NPI Number: | 1396078002 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO, MPH |
| License Number: | 20A10911 |
| Business Practice Address: | 75 Pringle Way Ste 512 Reno, NV - 895021469 |
| Business Phone Number: | 7759823866 |
| Business Fax Number: | 7759823868 |
| Mailing Address: | 780 Kuenzli St, Ste 202 RENO |
| State: | NV |
| Postal Code: | 895020837 |
| Phone Number: | 7759824590 |
| Fax Number: | 7759824595 |
| NPI Enumeration Date: | 09/13/2009 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A10911 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |