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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRUCE KIRIN FONG, DO

Deactivated Sole Proprietor

DR. BRUCE KIRIN FONG, DO is a Internal Medicine healthcare provider located in RENO, Nevada. NPI 1689694531 is deactivated in the NPPES registry. Verify at CMS.

Internal Medicine · RENO, NV

This NPI has been deactivated. The record was deactivated on November 25, 2014. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1689694531
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2006 (8.3506849315068 yrs)
Last Updated
Oct 2, 2015
Deactivated
Nov 25, 2014
License
909 (NV)
Sole Proprietor
Yes

Practice Information

Address
9333 DOUBLE R BLVD
SUITE 100
RENO, NV, 895213102
Browse NV providers · Browse ZIP 89521
Phone
7758285388
Fax
7758286588
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in RENO, NV

Name Credential NPI
DR. RICHARD BRUCE ROSEN M.D. 1003813700
RONALD LEWIS SMITH MD 1215927124
DR. RAYMOND HILL SCOTT III MD 1003890898
DR. JAMES WILLIAM HEMSLEY DO 1770567539
DR. AMANJIT DHATT M.D. 1811973795
STEPHEN A BAJO MD 1306823687
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.