Provider Demographics
NPI:1891820742
Name:DR. ARMBRUSTER PEDIATRICS PC
Entity Type:Organization
Organization Name:DR. ARMBRUSTER PEDIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR.
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SWALLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-753-6886
Mailing Address - Street 1:1995 ERRECART BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8337
Mailing Address - Country:US
Mailing Address - Phone:775-753-6886
Mailing Address - Fax:775-753-6888
Practice Address - Street 1:1995 ERRECART BLVD STE 205
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8337
Practice Address - Country:US
Practice Address - Phone:775-753-6886
Practice Address - Fax:775-753-6888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11565305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization