Healthcare Provider Details

I. General information

NPI: 1457557076
Provider Name (Legal Business Name): DAVID J HOWARD M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 06/15/2024
Certification Date: 06/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6130 PLUMAS ST
RENO NV
89519-6060
US

IV. Provider business mailing address

1155 MILL ST # MSM14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-1000
  • Fax:
Mailing address:
  • Phone: 775-982-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number14119
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: