Healthcare Provider Details
I. General information
NPI: 1043069529
Provider Name (Legal Business Name): REMO MEDICAL GROUP OF NEVADA SCHLANGEL PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2024
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5150 MAE ANNE AVE STE 405
RENO NV
89523-1859
US
IV. Provider business mailing address
1908 THOMES AVE STE 12124
CHEYENNE WY
82001-3527
US
V. Phone/Fax
- Phone: 415-234-0897
- Fax:
- Phone: 415-234-0897
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
POE
Title or Position: CEO
Credential:
Phone: 415-269-4049