Provider Demographics
NPI:1295033637
Name:JAMES C. MCLENNAN, M.D., PC
Entity Type:Organization
Organization Name:JAMES C. MCLENNAN, M.D., PC
Other - Org Name:ADVANCED MEDICAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:P.C.
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-358-3522
Mailing Address - Street 1:513 HAMMILL LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-1004
Mailing Address - Country:US
Mailing Address - Phone:775-358-3522
Mailing Address - Fax:
Practice Address - Street 1:513 HAMMILL LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1004
Practice Address - Country:US
Practice Address - Phone:775-358-3522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV261QP2300X261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care