Individual
NEIL P WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
255 N SIERRA ST, UNIT 1112, RENO, NV 89501-1349
(775) 229-2493
Mailing address
255 N SIERRA ST, UNIT 1112, RENO, NV 89501-1349
(775) 229-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1366
NV
207P00000X
Emergency Medicine Physician
5101014409
MI
207P00000X
Emergency Medicine Physician
OP0002216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487662276
—
MT
05
—
1487662276
—
WA
Enumeration date
08/04/2006
Last updated
03/30/2013
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