Individual
DR. JEREMY MARK GONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 MILL ST MS W14, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
1155 MILL ST MS M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-4196
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14342
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
14342
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073635348
—
NV
01
—
12553643
CAQH
—
Enumeration date
04/06/2007
Last updated
06/23/2021
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