Basic Information
Provider Information
NPI: 1457557076
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWARD
FirstName: DAVID
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 670 SIERRA ROSE DR
Address2:  
City: RENO
State: NV
PostalCode: 895112072
CountryCode: US
TelephoneNumber: 7753224550
FaxNumber: 7753224956
Practice Location
Address1: 670 SIERRA ROSE DR
Address2:  
City: RENO
State: NV
PostalCode: 895112072
CountryCode: US
TelephoneNumber: 7753224550
FaxNumber: 7753224956
Other Information
ProviderEnumerationDate: 06/21/2007
LastUpdateDate: 10/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X14119NVY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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