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NPI Code Detail

MEDICARE: MELVYN ROBASCIOTTI

MEDICARE: MELVYN ROBASCIOTTI
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1093359663
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVYN ROBASCIOTTI
Provider Business Mailing Address
First Line : 720 S MAIN ST STE C
Second Line :
City : YERINGTON
State : NV
Zip : 89447-2474
Country : US
Telephone Number : 775-463-6597
Fax Number :
Provider Business Practice Location Address
First Line : 3595 US HIGHWAY 50 UNIT 2
Second Line :
City : SILVER SPRINGS
State : NV
Zip : 89429-7370
Country : US
Telephone Number : 775-577-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2019
Last Update Date : 11/06/2019

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Directions to “ MELVYN ROBASCIOTTI ” Practice Location

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