Basic Information
Provider Information
NPI: 1295076776
EntityType: 2
ReplacementNPI:  
OrganizationName: RICKI ALPERT PC
LastName:  
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Credential:  
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Mailing Information
Address1: PO BOX 34120
Address2:  
City: RENO
State: NV
PostalCode: 895334120
CountryCode: US
TelephoneNumber: 7757475050
FaxNumber:  
Practice Location
Address1: 880 ALDER AVE
Address2:  
City: INCLINE VILLAGE
State: NV
PostalCode: 894518335
CountryCode: US
TelephoneNumber: 7758334100
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/08/2013
LastUpdateDate: 01/17/2014
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: ALPERT
AuthorizedOfficialFirstName: RICKI
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: MD/PRESIDENT
AuthorizedOfficialTelephone: 7757475050
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X10822NVY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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