Active NPI 1912391897 Individual Practitioner Male Practitioner

Dr. Mark Juhl , MD

Dermatology • Minden, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Juhl, MD is a certified Dermatology practicing in Minden, NV. With approximately 11 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2015, Dr. Juhl delivers high-quality medical care to the local community at 1661 LUCERNE ST.

Dr. Juhl is affiliated with Alpine Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, pathology examination of tissue using a microscope, intermediate complexity, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1661 Lucerne St

Minden, NV 894234381

Telephone 7757820700

Fax 7757820500

Associated Practice Facility / Clinic

🏢 Tck Islay, Inc Facility NPI 1336773373

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Minden, NV

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -17.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Minden, NV (93 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

13.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Juhl (11 Years) 11 Yrs

Minden Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,919	335	$6.80	$6.54
88305 Pathology examination of tissue using a microscope, intermediate complexity	708	194	$37.53	$36.47
99213 Established patient office or other outpatient visit, typically 15 minutes	686	466	$91.17	$88.87
17000 Destruction of skin growth	567	404	$68.39	$44.92
11102 Tangential biopsy of single skin lesion	542	390	$103.71	$92.16
11103 Biopsy of related skin growth, each additional growth	513	227	$51.32	$49.13
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	225	164	$690.97	$555.69
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	150	90	$419.35	$403.78
17110 Destruction of up to 14 skin growths	129	109	$115.81	$110.89
17004 Destruction of precancer skin growth, 15 or more growths	121	87	$172.39	$163.89
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	109	89	$434.56	$370.36
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	86	72	$481.69	$242.51
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	77	63	$249.58	$122.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$114.30	$108.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	60	$57.15	$55.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	52	$128.92	$125.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	51	46	$284.82	$189.58
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	46	41	$406.33	$378.69
11104 Punch biopsy, first skin growth	25	24	$128.45	$122.60
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	17	$648.51	$625.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$168.19	$162.94
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	19	$773.93	$704.42
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	19	19	$938.38	$902.06
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	19	$510.95	$254.68
96573 Application of light by qualified health care professional to destroy precancer skin growth	16	13	$233.91	$221.04
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	13	$394.00	$387.74
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	12	$782.13	$749.00
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$310.37	$247.24
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$73.14	$70.67
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	11	11	$1011.73	$973.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,824	298	$6.79	$6.67
88305 Pathology examination of tissue using a microscope, intermediate complexity	640	153	$42.06	$40.25
99213 Established patient office or other outpatient visit, typically 15 minutes	610	409	$91.06	$89.71
11102 Tangential biopsy of single skin lesion	555	392	$103.46	$96.02
17000 Destruction of skin growth	535	373	$68.25	$47.18
11103 Biopsy of related skin growth, each additional growth	506	214	$51.24	$50.36
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	206	145	$689.71	$568.55
17004 Destruction of precancer skin growth, 15 or more growths	156	112	$172.28	$168.73
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	155	85	$418.82	$412.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$113.25	$111.90
17110 Destruction of up to 14 skin growths	101	91	$115.70	$111.67
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	82	70	$433.78	$348.90
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	69	59	$480.50	$271.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	58	$129.36	$127.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	51	$57.10	$56.29
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	48	44	$405.50	$374.07
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	47	42	$248.93	$125.47
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	47	37	$284.23	$190.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$167.73	$165.84
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	23	22	$648.51	$596.65
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	23	23	$508.11	$260.68
11104 Punch biopsy, first skin growth	21	18	$128.30	$126.50
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	18	18	$937.14	$922.15
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	14	$309.87	$284.53
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	15	$1106.54	$1088.82
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	14	14	$1011.73	$995.52
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$73.00	$72.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,945	275	$6.86	$6.84
88305 Pathology examination of tissue using a microscope, intermediate complexity	732	163	$37.53	$37.49
99213 Established patient office or other outpatient visit, typically 15 minutes	567	354	$93.67	$93.39
17000 Destruction of skin growth	476	333	$69.58	$48.89
11102 Tangential biopsy of single skin lesion	474	313	$106.78	$102.34
11103 Biopsy of related skin growth, each additional growth	306	150	$53.53	$53.10
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	187	129	$696.91	$549.24
17004 Destruction of precancer skin growth, 15 or more growths	138	98	$173.66	$173.67
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	129	71	$423.64	$423.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$116.14	$115.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	75	$132.00	$131.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	62	$58.75	$58.17
17110 Destruction of up to 14 skin growths	69	63	$119.04	$115.90
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	65	51	$495.32	$266.08
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	60	51	$255.31	$127.21
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	58	49	$447.49	$388.04
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	44	41	$418.38	$403.25
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	36	30	$291.06	$201.99
11104 Punch biopsy, first skin growth	24	21	$132.95	$129.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$173.02	$172.78
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	19	18	$955.10	$955.83
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	19	17	$654.17	$567.25
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	18	17	$787.08	$790.90
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$75.31	$75.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$317.24	$293.55
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$796.03	$797.51
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	11	11	$900.22	$901.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	998	174	$7.29	$6.71
88305 Pathology examination of tissue using a microscope, intermediate complexity	549	114	$35.85	$35.86
99213 Established patient office or other outpatient visit, typically 15 minutes	302	253	$98.98	$94.84
11102 Tangential biopsy of single skin lesion	294	251	$120.20	$101.32
17000 Destruction of skin growth	250	210	$79.84	$44.72
11103 Biopsy of related skin growth, each additional growth	231	140	$59.33	$55.33
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	105	82	$698.51	$493.12
17004 Destruction of precancer skin growth, 15 or more growths	86	77	$176.65	$172.66
17110 Destruction of up to 14 skin growths	73	68	$158.45	$118.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$133.37	$117.13
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	56	40	$423.81	$427.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	43	$86.26	$59.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	44	38	$277.98	$133.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$164.46	$135.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	34	33	$370.92	$320.23
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	29	28	$451.57	$408.31
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	23	$314.66	$172.60
11104 Punch biopsy, first skin growth	21	21	$179.83	$131.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$300.18	$177.15
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	19	18	$956.54	$964.71
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	17	$184.63	$170.68
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	17	17	$498.13	$265.98
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$125.17	$77.04
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	13	13	$903.08	$796.94
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	13	13	$382.95	$217.54
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	12	$434.89	$409.25
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$938.32	$806.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	299	64	$23.07	$6.99
88305 Pathology examination of tissue using a microscope, intermediate complexity	262	125	$146.00	$78.25
99213 Established patient office or other outpatient visit, typically 15 minutes	181	128	$153.60	$82.85
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	143	105	$1345.00	$627.44
17000 Destruction of skin growth	120	98	$162.07	$49.87
11102 Tangential biopsy of single skin lesion	106	94	$216.09	$102.18
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	99	56	$794.00	$456.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$226.43	$119.21
17110 Destruction of up to 14 skin growths	64	57	$237.42	$119.19
11103 Biopsy of related skin growth, each additional growth	60	31	$116.37	$61.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	43	$91.88	$50.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$242.00	$119.48
11104 Punch biopsy, first skin growth	20	19	$263.30	$137.66
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	19	16	$1261.00	$550.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	18	$381.50	$184.40
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	12	$485.81	$389.01
69100 Biopsy of ear	14	14	$207.00	$76.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$365.50	$179.50
96574 Application of light with debridement to destroy precancer skin growth	11	11	$518.00	$313.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	117	31	$22.00	$6.32
88305 Pathology examination of tissue using a microscope, intermediate complexity	85	47	$146.00	$77.39
11102 Tangential biopsy of single skin lesion	53	51	$205.00	$98.56
17000 Destruction of skin growth	49	43	$157.00	$46.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$218.00	$118.34
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	43	37	$1345.00	$585.31
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	37	22	$794.00	$446.26
17110 Destruction of up to 14 skin growths	37	32	$230.00	$122.45
11103 Biopsy of related skin growth, each additional growth	32	22	$111.00	$60.41
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$148.00	$81.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$90.00	$50.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$332.00	$178.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$218.00	$119.04
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$152.00	$84.15

Medical Specialties & State Licenses

CMS Verified: 2024-07-19

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NV 20876

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License CA 162860

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License CA 162860

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License CA 162860

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Hospital & Practice Group Affiliations

Alpine Dermatology Llc

1624 10th St, Minden, NV 894234477

Alpine Dermatology Llc

1661 Lucerne St, Minden, NV 894234306

Alpine Dermatology Llc

1661 Lucerne St, Minden, NV 894234381

Phone: 7757820700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Dan Rowe , MD

Dermatology

NPI 1053314708

Doctor of Medicine (M.D.)

Dr. Todd Helfman , MD

Dermatology

NPI 1265435580

Doctor of Medicine (M.D.)

Dr. Diane Sheridan , MD

Dermatology

NPI 1588619555

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

📍

Updated Practice Location July 19, 2024

Registered at 1661 LUCERNE ST, MINDEN, NV 894234381 (Tel: 7757820700)

📍

Updated Business Mailing Address July 19, 2024

Registered at 1661 LUCERNE ST, MINDEN, NV 894234381 (Tel: 7757820700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2024

Dermatology (License #162860 in CA)

📍

Updated Practice Location July 19, 2023

Registered at 1624 10TH ST STE 1, MINDEN, NV 894234477 (Tel: 7757820700)

📍

Updated Business Mailing Address July 19, 2023

Registered at 1624 10TH ST STE 1, MINDEN, NV 894234477 (Tel: 7757820700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2023

Dermatology (License #162860 in CA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Dermatology (License #162860 in CA)

📍

Updated Practice Location October 04, 2019

Registered at 180 NEWPORT CENTER DR STE 158, NEWPORT BEACH, CA 92660 (Tel: 9497191800)

📍

Updated Business Mailing Address October 04, 2019

Registered at 180 NEWPORT CENTER DR STE 158, NEWPORT BEACH, CA 926600934 (Tel: 9497191800)

👤

Provider Name / Credentials Updated October 04, 2019

Recorded as MARK JUHL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2019

Dermatology (License #162860 in CA)

✅

NPI Profile Active March 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2015

Registered at 836 W WELLINGTON AVE, CHICAGO, IL 606575147 (Tel: 7732965424)

📍

Updated Business Mailing Address March 27, 2015

Registered at 836 W WELLINGTON AVE, CHICAGO, IL 606575147 (Tel: 7732965424)

👤

Provider Name / Credentials Updated March 27, 2015

Recorded as MARK JUHL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912391897

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 27, 2015

Last Update: July 19, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1661 Lucerne St

Minden, NV 894234381

Phone: 7757820700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.