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NPI Code Detail

MEDICARE: ALLEN JOSEPH BRINKERHOFF

MEDICARE: ALLEN JOSEPH BRINKERHOFF
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
1363A00000XPhysician AssistantPA3106NV

General Provider Information

NPI Number : 1356031934
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN JOSEPH BRINKERHOFF
Provider Business Mailing Address
First Line : 1260 NEVADA PACIFIC BLVD
Second Line :
City : FERNLEY
State : NV
Zip : 89408-9871
Country : US
Telephone Number : 775-575-7171
Fax Number :
Provider Business Practice Location Address
First Line : 1260 NEVADA PACIFIC BLVD
Second Line :
City : FERNLEY
State : NV
Zip : 89408-9871
Country : US
Telephone Number : 775-442-0683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 10/29/2025

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Directions to “ ALLEN JOSEPH BRINKERHOFF ” Practice Location

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