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NPI Code Detail

MEDICARE: GARY W ABEL

MEDICARE:   GARY W ABEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist316NV

General Provider Information

NPI Number : 1063970457
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY W ABEL
Provider Business Mailing Address
First Line : 680 W NYE LN STE 102
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-1573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 680 W NYE LN STE 102
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-1573
Country : US
Telephone Number : 775-884-4488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 03/05/2019

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Directions to “ GARY W ABEL ” Practice Location

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