MEDICARE: JOSEPH FINNEGAN

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
1	207R00000X	Internal Medicine Physician	26837	CO

General Provider Information

NPI Number	:	1538175674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH FINNEGAN

Provider Business Mailing Address
First Line	:	3225 OLD US 395
Second Line	:
City	:	WASHOE VALLEY
State	:	NV
Zip	:	89704
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 IRONWOOD DR
Second Line	:	#2102
City	:	MINDEN
State	:	NV
Zip	:	89423-5178
Country	:	US
Telephone Number	:	775-782-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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Directions to “ JOSEPH FINNEGAN ” Practice Location

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