Individual
BRIAN DUONG DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
605 SIERRA ROSE DR STE 4, RENO, NV 89511-2093
(775) 451-1701
(775) 451-1713
Mailing address
605 SIERRA ROSE DR STE 4, RENO, NV 89511-2093
(775) 689-5410
(775) 451-1713
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2622
NV
Other
Enumeration date
04/05/2022
Last updated
10/24/2022
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