Basic Information
Provider Information
NPI: 1326363052
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CIRAC
FirstName: NICHOLAS
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 S ARLINGTON AVE
Address2:  
City: RENO
State: NV
PostalCode: 895012002
CountryCode: US
TelephoneNumber: 7753481900
FaxNumber:  
Practice Location
Address1: 300 S ARLINGTON AVE
Address2:  
City: RENO
State: NV
PostalCode: 895012002
CountryCode: US
TelephoneNumber: 7753481900
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/06/2010
LastUpdateDate: 07/02/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X15284NVY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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