Individual
MS. MARTHA JENNY ANJA VAN DUYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9770 S MCCARRAN BLVD, RENO, NV 89523
(775) 322-4589
(775) 322-3787
Mailing address
9770 S MCCARRAN BLVD, RENO, NV 89523
(775) 322-4589
(775) 322-3787
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9031
NV
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
9031
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016208
—
NV
Enumeration date
09/07/2006
Last updated
05/02/2008
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