Healthcare Provider Details

I. General information

NPI: 1750341202
Provider Name (Legal Business Name): STEVEN MARK FRIEDLANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 SIERRA ROSE DR
RENO NV
89511
US

IV. Provider business mailing address

610 SIERRA ROSE DR
RENO NV
89511-2072
US

V. Phone/Fax

Practice location:
  • Phone: 775-356-7272
  • Fax: 775-356-2922
Mailing address:
  • Phone: 775-356-7272
  • Fax: 775-356-2922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number8714
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number8714
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: