Individual
FANNIE H FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 JONES ST, RENO, NV 89503-5512
(775) 322-1880
(775) 322-1987
Mailing address
1001 JONES ST, RENO, NV 89503-5512
(775) 322-1880
(775) 322-1987
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16196
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016499
—
NV
Enumeration date
03/31/2008
Last updated
01/06/2016
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