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NPI Code Detail

MEDICARE: DR. EDWIN STEVEN SWEENEY M.D.

MEDICARE: DR. EDWIN STEVEN SWEENEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician5724NV
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianG67362CA
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician82-321NM
4207ZP0102XAnatomic Pathology & Clinical Pathology Physician172972-1205UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3XPY068120OTHERNVMEDICAL

General Provider Information

NPI Number : 1033113865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWIN STEVEN SWEENEY M.D.
Provider Business Mailing Address
First Line : 1350 STARDUST ST
Second Line : STE D
City : RENO
State : NV
Zip : 89503-4264
Country : US
Telephone Number : 775-746-3400
Fax Number : 775-746-3411
Provider Business Practice Location Address
First Line : 1350 STARDUST ST
Second Line : STE D
City : RENO
State : NV
Zip : 89503-4264
Country : US
Telephone Number : 775-746-3400
Fax Number : 775-746-3411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 03/16/2010

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