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NPI Code Detail

MEDICARE: BRIAN E JUELL M.D.

MEDICARE: BRIAN E JUELL M.D.
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
1208600000XSurgery Physician5075NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851381081
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN E JUELL M.D.
Provider Business Mailing Address
First Line : 6554 S MCCARRAN BLVD
Second Line : #B
City : RENO
State : NV
Zip : 89509-6166
Country : US
Telephone Number : 775-324-0288
Fax Number : 775-323-5504
Provider Business Practice Location Address
First Line : 6554 S MCCARRAN BLVD
Second Line : #B
City : RENO
State : NV
Zip : 89509-6112
Country : US
Telephone Number : 775-324-0288
Fax Number : 775-323-5504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 03/19/2012

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Directions to “ BRIAN E JUELL M.D.” Practice Location

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