Basic Information
Provider Information
NPI: 1174795363
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GANSERT
FirstName: TOBEY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ASSOCIATED ANESTHESIOLOGISTS OF RENO
Address2: 300 SOUTH ARLINGTON AVENUE
City: RENO
State: NV
PostalCode: 89501
CountryCode: US
TelephoneNumber: 7753481900
FaxNumber: 7753481930
Practice Location
Address1: ASSOCIATED ANESTHESIOLOGISTS OF RENO
Address2: 300 SOUTH ARLINGTON AVENUE
City: RENO
State: NV
PostalCode: 89501
CountryCode: US
TelephoneNumber: 7753481900
FaxNumber: 7753481930
Other Information
ProviderEnumerationDate: 03/27/2008
LastUpdateDate: 08/23/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X14298NVY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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