Individual
BRENDAN RICE FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 W 6TH ST, RENO, NV 89503-4415
(775) 770-3209
(706) 396-3252
Mailing address
1155 MILL ST # MSM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-6271
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17756
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
11/30/2022
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