Dr. Jonathan P Pezanoski
Gastroenterologist
10619 Professional Cir
Reno
, Nevada 89521-5831
Dr. Jonathan P Pezanoski
Gastroenterologist
10619 Professional Cir
Reno
, Nevada 89521-5831
(775) 850-5763
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Jonathan P Pezanoski
- 10619 Professional Cir
- Reno, NV
- Zip : 89521-5831
- Fax : (775) 850-5763
- Phone : (775) 852-4848
Second Address
- Dr. Jonathan P Pezanoski
- 10619 Professional Cir
- Reno, NV
- Zip : 89521-5831
- Fax : (775) 850-5763
- Phone : (775) 852-4848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 12280 | NV |
National Provider Identifier
| NPI | 1053355545 |
|---|---|
| Provider Name | Dr. Jonathan P Pezanoski |
| First Address | Reno, NV 89521-5831 |
| Second Address | Reno, NV 89521-5831 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2006 |
| Last Update Date | 08/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I53763 | (02) | NV |
| VWCGZB | GROUP MEDICARE PIN (01) | NV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.