| Sierra Integrative Medical Center | |
|
9333 Double R Blvd. Suite 100 Reno NV 89521-2962 | |
| (775) 828-5388 | |
| (775) 828-6588 |
| Full Name | Sierra Integrative Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 9333 Double R Blvd., Reno, Nevada |
| Authorized Official Name and Position | Bruce Kirin Fong (MANAGING MEMBER) |
| Authorized Official Contact | 7758285388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Integrative Medical Center 9333 Double R Blvd. Suite 100 Reno NV 89521-2962 Ph: (775) 828-5388 | Sierra Integrative Medical Center 9333 Double R Blvd. Suite 100 Reno NV 89521-2962 Ph: (775) 828-5388 |
| NPI Number | 1679610158 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 11/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679610158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 909 (Nevada) | Secondary |
| 207R00000X | Internal Medicine | NV0909 (Nevada) | Primary |
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