Healthcare Provider Details

I. General information

NPI: 1376830554
Provider Name (Legal Business Name): MOUNTAINVIEW MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 COUNTY RD STE H
MINDEN NV
89423-4465
US

IV. Provider business mailing address

1701 COUNTY RD STE H
MINDEN NV
89423-4465
US

V. Phone/Fax

Practice location:
  • Phone: 775-782-3933
  • Fax: 775-782-1127
Mailing address:
  • Phone: 775-782-3933
  • Fax: 775-782-1127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROL TUSANG SWARTZ
Title or Position: OWNER
Credential: MD
Phone: 775-782-3933