Provider Demographics
NPI:1679546139
Name:EELLS, JAMES R (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:EELLS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7020 SMOKE RANCH RD # 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-3111
Mailing Address - Country:US
Mailing Address - Phone:702-796-3847
Mailing Address - Fax:702-341-6379
Practice Address - Street 1:7020 SMOKE RANCH RD # 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-796-3847
Practice Address - Fax:702-341-6379
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2024-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV6500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500745Medicaid
NV100500745Medicaid