Basic Information
| Provider Information | |||||||||
| NPI: | 1396026076 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 975 KIRMAN AVE # MS 18 | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895020993 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7757867200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 975 KIRMAN AVE # MS 18 | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895020993 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7757867200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2011 | ||||||||
| LastUpdateDate: | 09/08/2011 | ||||||||
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| AuthorizedOfficialLastName: | GUO | ||||||||
| AuthorizedOfficialFirstName: | GUO-XIANG | ||||||||
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| AuthorizedOfficialTitleorPosition: | FELLOW,GERIATRIC | ||||||||
| AuthorizedOfficialTelephone: | 7757867200 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 281P00000X | LL2221 | NV | Y | Hospitals | Chronic Disease Hospital |
No ID Information.