Provider Demographics
NPI:1770606998
Name:NUNLEY, JAMES C (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:NUNLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6554 S MCCARRAN BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6166
Mailing Address - Country:US
Mailing Address - Phone:775-324-0288
Mailing Address - Fax:775-324-0288
Practice Address - Street 1:6554 S MCCARRAN BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6166
Practice Address - Country:US
Practice Address - Phone:775-324-0288
Practice Address - Fax:775-324-0288
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2013-01-15
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Provider Licenses
StateLicense IDTaxonomies
MO2008012156208600000X
NV14413208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1770606998Medicaid
NV1770606998Medicaid
NV1770606998Medicaid
NVGQ697ZMedicare PIN