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Individual

WILLIAM BRUCE POVOLNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 CRAMPTON ST, RENO, NV 89502-2480
(775) 336-3700
(775) 336-3701
Mailing address
680 S ROCK BLVD, RENO, NV 89502-4113
(775) 329-6300
(775) 336-0653

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4887
NV
207R00000X
Internal Medicine Physician
4887
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002016186
NV
Enumeration date
01/22/2007
Last updated
05/23/2022
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