Wellformed AI

NPI 1790734366 · live from the CMS NPI Registry

Russell Allen Foulk, M.D.

Obstetrics & Gynecology, Reproductive Endocrinology in Reno, NV. National Provider Identifier 1790734366, active.

NPI record

NPI1790734366 Type 1 · individual
StatusActive
Primary specialtyObstetrics & Gynecology, Reproductive Endocrinology 207VE0102X
Practice location645 Sierra Rose Dr, Suite 205, Reno, NV 89511
Practice phone775-828-1200
EnumeratedMay 9, 2006
Last updatedMay 6, 2019
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Reproductive Endocrinology207VE0102XM-7577 (ID)
Obstetrics & Gynecology, Reproductive Endocrinology primary207VE0102X7698 (NV)
Obstetrics & Gynecology, Reproductive Endocrinology207VE0102Xg72373 (CA)
Obstetrics & Gynecology, Reproductive Endocrinology207VE0102X6333431-1205 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.