Provider Demographics
NPI:1174792675
Name:ASSOCIATED GYNECOLOGY PC
Entity type:Organization
Organization Name:ASSOCIATED GYNECOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HILTON
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-825-3838
Mailing Address - Street 1:3645 WARREN WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5241
Mailing Address - Country:US
Mailing Address - Phone:775-825-3838
Mailing Address - Fax:775-825-3890
Practice Address - Street 1:3645 WARREN WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5241
Practice Address - Country:US
Practice Address - Phone:775-825-3838
Practice Address - Fax:775-825-3890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3744207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E62045Medicare UPIN
D35464Medicare UPIN