Individual
DR. ROBERT CHARLES GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2789 SUNRIDGE HEIGHTS PKWY, SUITE 100, HENDERSON, NV 89052-5052
(702) 614-0850
(702) 614-0798
Mailing address
2789 SUNRIDGE HEIGHTS PKWY, SUITE 100, HENDERSON, NV 89052-5052
(702) 614-0850
(702) 614-0798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7222
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019364
—
NV
Enumeration date
03/03/2006
Last updated
03/26/2013
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