Organization
SIERRA INTEGRATED MEDICINE
Active
Other names
Sierra Integrative Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE KIRIN FONG D.O. (MANAGING MEMBER)
(775) 828-5388
Entity
Organization
Contact information
Practice address
9333 DOUBLE R BLVD., SUITE 100, RENO, NV 89521-2962
(775) 828-5388
(775) 828-6588
Mailing address
9333 DOUBLE R BLVD., SUITE 100, RENO, NV 89521-2962
(775) 828-5388
(775) 828-6588
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
909
NV
207R00000X
Internal Medicine Physician
Primary
NV0909
NV
Other
Enumeration date
01/31/2007
Last updated
11/18/2014
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