Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 5101019326 | MI |
N | 207P00000X | Emergency Physician | DO2215 | NV |
Y | 207RC0200X | Critical Care Medicine | DO2215 | NV |
NPI | 1083900625 |
---|---|
Provider Name | Dr. Richard Moritz Maier JR. |
First Address | Reno, NV 89502-2055 |
Second Address | Reno, NV 89502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2011 |
Last Update Date | 18/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083900625 | (05) | NV |
13573885 | CAQH (01) |