MEDICARE: MEDICAL PHYSICS SERVICES

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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1306083712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PHYSICS SERVICES

Provider Business Mailing Address
First Line	:	2027 THORNBURY CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-3224
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2027 THORNBURY CT.
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523
Country	:	US
Telephone Number	:	775-787-2981
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DAVID K. CHAMBERLAIN
Credential	:
Telephone Number	:	775-787-2981

Provider Enumeration Date	:	01/08/2009
Last Update Date	:	01/08/2009

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