Healthcare Provider Details

I. General information

NPI: 1659324374
Provider Name (Legal Business Name): TODD FRANKLIN INMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 06/18/2021
Certification Date: 06/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 E PRATER WAY SUITE 100
SPARKS NV
89434-9600
US

IV. Provider business mailing address

2345 E PRATER WAY STE 207
SPARKS NV
89434-9634
US

V. Phone/Fax

Practice location:
  • Phone: 775-352-5353
  • Fax: 775-352-5354
Mailing address:
  • Phone: 775-352-5353
  • Fax: 775-352-5354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11938
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number11938
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: