Provider Demographics
NPI:1336210640
Name:SIERRA PULMONARY AND SLEEP CONSULTANTS
Entity Type:Organization
Organization Name:SIERRA PULMONARY AND SLEEP CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS SERVICES MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-351-2600
Mailing Address - Street 1:1441 PULLMAN DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-7921
Mailing Address - Country:US
Mailing Address - Phone:775-351-2600
Mailing Address - Fax:775-351-2517
Practice Address - Street 1:1441 PULLMAN DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-7921
Practice Address - Country:US
Practice Address - Phone:775-351-2600
Practice Address - Fax:775-351-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV36731Medicare ID - Type Unspecified