Provider Demographics
NPI:1770017394
Name:EWING, ROBERT KENNETH II (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KENNETH
Last Name:EWING
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:645 SIERRA ROSE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4025
Mailing Address - Country:US
Mailing Address - Phone:775-322-3011
Mailing Address - Fax:775-322-1849
Practice Address - Street 1:645 SIERRA ROSE DR.
Practice Address - Street 2:SUITE 103
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509
Practice Address - Country:US
Practice Address - Phone:775-322-3011
Practice Address - Fax:775-322-1849
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV449207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine