Organization
ADVANCED GYNECOLOGY OF RENO POPPEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH POPPEN DO (OWNER)
(916) 715-1244
Entity
Organization
Contact information
Practice address
6630 S MCCARRAN BLVD STE A11, RENO, NV 89509-6145
(775) 237-2833
(775) 237-2823
Mailing address
PO BOX 11742, RENO, NV 89510-1742
(775) 237-2833
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
08/18/2022
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