Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 4006 | NV |
NPI | 1124188214 |
---|---|
Provider Name | Judy F Hilbish |
First Address | Reno, NV 89503-5146 |
Second Address | Reno, NV 89503-5146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20-16130 | (05) | NV |
C96145 | (02) | NV |