Healthcare Provider Details

I. General information

NPI: 1275538233
Provider Name (Legal Business Name): MARK L STOVAK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 W MOANA LN
RENO NV
89509-4991
US

IV. Provider business mailing address

1155 MILL ST MS M-14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-1000
  • Fax: 775-982-8046
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-8046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number0426465
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number15867
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: