Healthcare Provider Details

I. General information

NPI: 1275568479
Provider Name (Legal Business Name): BROWN, CALVANESE, CAMERON LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 MILL ST
RENO NV
89502-1576
US

IV. Provider business mailing address

PO BOX 11276
RENO NV
89510-1276
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN MASSEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 775-324-4040