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Jeffrey Dwight Upton, MD
Specialist in Carson City, Nevada
NPI 1790744209

Jeffrey Dwight Upton is a Specialist based in Carson City, NV. Jeffrey Dwight Upton practices in Carson City, NV and has the professional credentials of MD. The NPI Number for Jeffrey Dwight Upton is 1790744209 and holds a License No. 5645 (Nevada).

The current practice location address for Jeffrey Dwight Upton is 1525 Vista Ln, Carson City, NV and can be reached out via phone at 775-885-9991 and via fax at 775-883-0884.

Location: 1525 Vista Ln, Carson City, NV, 89703-4633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790744209
Provider Name
Jeffrey Dwight Upton
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1525 Vista Ln, Carson City, NV, 89703-4633
Phone Number
775-885-9991
Fax Number
775-883-0884
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-13007 05 NV
institution
Provider Business Practice Location Address Details
Address
1525 Vista Ln
City
Carson City
State
Nevada
Zip
89703-4633
Phone Number
775-885-9991
Fax Number
775-883-0884
person
Provider Business Mailing Address Details
Address
1525 Vista Ln
City
Carson City
State
Nevada
Zip
89703-4633
Phone Number
775-885-9991
Fax Number
775-883-0884
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5645 (Nevada)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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