Individual
DUSTIN RENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1155 YELLOWSTONE AVE, STE D, POCATELLO, ID 83201-4369
(208) 637-9610
(208) 238-6162
Mailing address
1155 YELLOWSTONE AVE, STE D, POCATELLO, ID 83201-4369
(208) 637-9610
(208) 238-6162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54537
ID
Other
Enumeration date
12/06/2016
Last updated
04/23/2024
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