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Jeffrey Dwight Upton, MD

Specialist in Carson City, NV. Individual provider (NPI-1).

NPI number1790744209
StatusActive
Last updated in NPPESFeb 3, 2012

Details

NPI
1790744209
Entity type
Individual (NPI-1)
Name
Jeffrey Dwight Upton
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 22, 2006
Last updated
Feb 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist5645NVYes

Practice location

1525 Vista Ln
120
Carson City, NV 89703-4633

Phone 775-885-9991 · Fax 775-883-0884

Mailing address

1525 Vista Ln
Ste 120
Carson City, NV 89703-4633

Phone 775-885-9991 · Fax 775-883-0884

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