Provider Demographics
NPI:1578540951
Name:ALM, VANCE (MD)
Entity Type:Individual
Prefix:DR
First Name:VANCE
Middle Name:
Last Name:ALM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16500 WEDGE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-3206
Mailing Address - Country:US
Mailing Address - Phone:775-786-0100
Mailing Address - Fax:844-272-5739
Practice Address - Street 1:16500 WEDGE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-3206
Practice Address - Country:US
Practice Address - Phone:775-786-0100
Practice Address - Fax:844-272-5739
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9845207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
11039606OtherCAQH
1578540951OtherNPI
NV1821641937OtherGROUP NPI