Healthcare Provider Details

I. General information

NPI: 1548656796
Provider Name (Legal Business Name): JASON FORBES HILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 08/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 MILL ST
RENO NV
89502
US

IV. Provider business mailing address

PO BOX 11276
RENO NV
89510-1276
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-4182
  • Fax:
Mailing address:
  • Phone: 775-324-4040
  • Fax: 775-324-4042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number17588
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: