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NPI Code Detail

MEDICARE: JOSHUA TARTAKOFF D.O

MEDICARE: JOSHUA TARTAKOFF D.O
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
1207Q00000XFamily Medicine PhysicianDO2736NV

General Provider Information

NPI Number : 1235661281
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA TARTAKOFF D.O
Provider Business Mailing Address
First Line : 680 S ROCK BLVD
Second Line :
City : RENO
State : NV
Zip : 89502-4113
Country : US
Telephone Number : 775-329-6300
Fax Number : 775-348-3896
Provider Business Practice Location Address
First Line : 2244 ODDIE BLVD
Second Line :
City : SPARKS
State : NV
Zip : 89431-7574
Country : US
Telephone Number : 775-329-6300
Fax Number : 775-348-3896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2017
Last Update Date : 12/11/2024

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Directions to “ JOSHUA TARTAKOFF D.O” Practice Location

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