Provider Demographics
NPI:1962619825
Name:DWINELL, BRIAN THOMAS SILVER CLOUD (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:THOMAS SILVER CLOUD
Last Name:DWINELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SILVER
Other - Middle Name:CLOUD
Other - Last Name:DWINELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:300 SOUTH ARLINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2002
Mailing Address - Country:US
Mailing Address - Phone:775-348-1900
Mailing Address - Fax:775-348-1904
Practice Address - Street 1:235 WEST SIXTH STREET
Practice Address - Street 2:SAINT MARYS REGIONAL MEDICAL CENTER
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4548
Practice Address - Country:US
Practice Address - Phone:775-770-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12430207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology