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Individual

ROMMEL UY ADAJAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
780 KUENZLI ST, RENO, NV 89502-0845
(775) 982-5262
(775) 982-5496

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15160
NV
207R00000X
Internal Medicine Physician
36000
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0462598
IA
01
38552
WELLMARK BLUE CROSS BLUE
IA
01
P00202301
RR MEDICARE
IA
Enumeration date
07/18/2006
Last updated
11/03/2016
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