MEDICARE: PRECISION BRAIN CARE PLLC

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	2084V0102X	Vascular Neurology Physician
2	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1578194460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION BRAIN CARE PLLC

Provider Business Mailing Address
First Line	:	5740 RIVER BIRCH DRIVE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-4358
Country	:	US
Telephone Number	:	253-350-4471
Fax Number	:

Provider Business Practice Location Address
First Line	:	5740 RIVER BIRCH DRIVE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-4358
Country	:	US
Telephone Number	:	253-350-4471
Fax Number	:

Authorized Official
Title or Position	:	NEUROLOGIST
Name	:	MR. AARON CARL HEIDE
Credential	:	M.D.
Telephone Number	:	253-350-4471

Provider Enumeration Date	:	01/29/2020
Last Update Date	:	01/29/2020

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