Provider Demographics
NPI:1770349615
Name:SIERRA PHYSICIANS HOLDINGS
Entity type:Organization
Organization Name:SIERRA PHYSICIANS HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CHACHERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-463-8548
Mailing Address - Street 1:8084 W SAHARA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1977
Mailing Address - Country:US
Mailing Address - Phone:702-463-8548
Mailing Address - Fax:
Practice Address - Street 1:8084 W SAHARA AVE STE B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1977
Practice Address - Country:US
Practice Address - Phone:702-463-8548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty