Organization
GLENDA F MATSUMURA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDA FAYE MATSUMURA M.D. (PRESIDENT)
(775) 772-6527
Entity
Organization
Contact information
Practice address
18124 WEDGE PKY, 193, RENO, NV 89511-8134
(775) 772-6527
(775) 853-2728
Mailing address
18124 WEDGE PKY, 193, RENO, NV 89511-8134
(775) 772-6527
(775) 853-2728
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8052
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016335
—
NV
01
—
CC1735
BLUE CROSS BLUE SHIELD
NV
Enumeration date
01/31/2007
Last updated
05/15/2009
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