MEDICARE: RICKI ALPERT PC

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
1	207L00000X	Anesthesiology Physician	10822	NV

General Provider Information

NPI Number	:	1295076776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICKI ALPERT PC

Provider Business Mailing Address
First Line	:	PO BOX 34120
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89533-4120
Country	:	US
Telephone Number	:	775-747-5050
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 ALDER AVE
Second Line	:
City	:	INCLINE VILLAGE
State	:	NV
Zip	:	89451-8335
Country	:	US
Telephone Number	:	775-833-4100
Fax Number	:

Authorized Official
Title or Position	:	MD/PRESIDENT
Name	:	RICKI A ALPERT
Credential	:	MD
Telephone Number	:	775-747-5050

Provider Enumeration Date	:	03/08/2013
Last Update Date	:	01/17/2014

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