Basic Information
Provider Information
NPI: 1023483963
EntityType: 2
ReplacementNPI:  
OrganizationName: J V FOLEY MD PC
LastName:  
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Mailing Information
Address1: PO BOX 34120
Address2:  
City: RENO
State: NV
PostalCode: 895334120
CountryCode: US
TelephoneNumber: 7757475050
FaxNumber: 7757475005
Practice Location
Address1: 10956 DONNER PASS RD
Address2: SUITE 310
City: TRUCKEE
State: CA
PostalCode: 961614861
CountryCode: US
TelephoneNumber: 5305365065
FaxNumber: 5305365069
Other Information
ProviderEnumerationDate: 12/03/2015
LastUpdateDate: 03/18/2016
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AuthorizedOfficialLastName: FOLEY
AuthorizedOfficialFirstName: JOHN
AuthorizedOfficialMiddleName: V
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7757475050
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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