Healthcare Provider Details
I. General information
NPI: 1508450412
Provider Name (Legal Business Name): PEAK ALLERGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2021
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1180 SELMI DR STE 201
RENO NV
89512-4776
US
IV. Provider business mailing address
1180 SELMI DR STE 201
RENO NV
89512-4776
US
V. Phone/Fax
- Phone: 775-433-2222
- Fax: 775-433-2223
- Phone: 775-433-2222
- Fax: 775-433-2223
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207KA0200X |
| Taxonomy | Allergy Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
REECE
ALAN
JONES
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 775-223-1090