# CARSON UROLOGISTS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346370574
- **Authorized official:** JAMES A CUNNINGHAM M.D. (PRESIDENT)
- **Authorized official phone:** (775) 883-1030

## Contact information

- **Practice address:** 412 W JOHN ST, \#1B, CARSON CITY, NV 89703-8811
- **Practice address phone:** (775) 883-1030
- **Practice address fax:** (775) 883-4677
- **Mailing address:** 412 W JOHN ST, \#1B, CARSON CITY, NV 89703-8811
- **Mailing address phone:** (775) 883-1030
- **Mailing address fax:** (775) 883-4677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CC9684 | ANTHEM BCBS NEVADA | NV |
| 01 | — | CR1134 | RR MEDICARE | NV |