| Organization Name: | UNIVERSITY OF NEVADA SCHOOL OF MED MULTISPECIALTY GROUP PRACTICE NORTH |
| NPI Number: | 1992842660 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA MURPHY (CREDENTIALING SPECIALIST) |
| Mailing Address: | 401 W 2nd St 235d Reno |
| State: | NV US |
| Postal Code: | 895035345 |
| Phone Number: | 7757841223 |
| Fax Number: | 7753272006 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |