Provider Demographics
NPI:1194997387
Name:CRUM AND STEFANKO, LTD
Entity type:Organization
Organization Name:CRUM AND STEFANKO, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:STEFANKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-624-2200
Mailing Address - Street 1:4791 SUMMIT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-7917
Mailing Address - Country:US
Mailing Address - Phone:775-624-2200
Mailing Address - Fax:775-624-2211
Practice Address - Street 1:4791 SUMMIT RIDGE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-7917
Practice Address - Country:US
Practice Address - Phone:775-624-2200
Practice Address - Fax:775-624-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty