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Individual

RODNEY ERIC GONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2016 SPRING ROSE ST, LAS VEGAS, NV 89134-6640
(702) 838-4000
Mailing address
2016 SPRING ROSE ST, LAS VEGAS, NV 89134-6640
(702) 838-4000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5869
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002019267
NV
Enumeration date
09/26/2006
Last updated
07/08/2007
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