Individual
DR. ANTOINE A BOUDOUMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 S WELLS AVE, SUITE 120, RENO, NV 89502-2586
(775) 329-6300
(775) 348-3896
Mailing address
1055 S WELLS AVE, SUITE 120, RENO, NV 89502-2586
(775) 329-6300
(775) 348-3896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10808
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001516008
—
NV
05
—
003116008
—
NV
Enumeration date
10/03/2006
Last updated
07/08/2007
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