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NPI Code Detail

MEDICARE: ERIN TERRY

MEDICARE:   ERIN  TERRY
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
1247200000XOther Technician

General Provider Information

NPI Number : 1518304609
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN TERRY
Provider Business Mailing Address
First Line : 1250 LAMOILLE HWY STE 208
Second Line :
City : ELKO
State : NV
Zip : 89801-4397
Country : US
Telephone Number : 775-738-4158
Fax Number : 775-753-6487
Provider Business Practice Location Address
First Line : 1250 LAMOILLE HWY STE 208
Second Line :
City : ELKO
State : NV
Zip : 89801-4397
Country : US
Telephone Number : 775-738-4158
Fax Number : 775-753-6487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2013
Last Update Date : 05/29/2013

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Directions to “ ERIN TERRY ” Practice Location

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