Healthcare Provider Details

I. General information

NPI: 1174587539
Provider Name (Legal Business Name): PHILIP SCHLAGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MOUNTAIN ST
CARSON CITY NV
89703-3821
US

IV. Provider business mailing address

1200 MOUNTAIN ST
CARSON CITY NV
89701
US

V. Phone/Fax

Practice location:
  • Phone: 775-884-3687
  • Fax: 775-884-3458
Mailing address:
  • Phone: 775-884-3687
  • Fax: 775-884-3458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number7425
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: