Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 14163 | NV |
NPI | 1760641997 |
---|---|
Provider Name | Dr. Jonathan L Mccaleb |
First Address | Reno, NV 89502-6542 |
Second Address | Reno, NV 89502-6542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 14/02/2013 |