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ADVANCED GYNECOLOGY OF RENO POPPEN NPI 1992437057


NPI Information

NPI: 1992437057
Provider Name: ADVANCED GYNECOLOGY OF RENO POPPEN
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 29D2267566

Address:
6630 S MCCARRAN BLVD STE A11
RENO, NV
ZIP 89509
Phone: (775) 237-2833
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ADVANCED GYNECOLOGY OF RENO POPPEN is a gynecology obstetrics gynecology in Reno, NV. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee ADVANCED GYNECOLOGY OF RENO POPPEN NPI is 1992437057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6630 S MCCARRAN BLVD STE A11
RENO, NV
ZIP 89509-145
Phone: (775) 237-2833
Fax: (775) 237-2823

The provider's authorized official is Kenneth Poppen .
The authorized official title is Owner and has the following contact phone number (916) 715-1244.

The CLIA number assigned to this NPI record is 29D2267566 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2022 and was last updated on 8/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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