Individual
WILLIAM TORU MIYAZAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5990 SILVER LAKE RD, RENO, NV 89506-2301
(775) 972-9100
(775) 972-9101
Mailing address
5990 SILVER LAKE RD, RENO, NV 89506-2301
(775) 972-9100
(775) 972-9101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
447
NV
207Q00000X
Family Medicine Physician
5017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016018
—
NV
01
—
11864
ANTHEM BLUE CROSS
NV
01
—
CC3139
FEDERAL BLUE CROSS
NV
Enumeration date
03/01/2007
Last updated
08/08/2022
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