Individual
ISAAC B. TUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6120 S FORT APACHE RD, LAS VEGAS, NV 89148-6702
(702) 948-8660
(702) 483-6663
Mailing address
6120 S FORT APACHE RD, LAS VEGAS, NV 89148-6702
(702) 948-8660
(702) 483-6663
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0160
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164670634
—
NV
Enumeration date
09/08/2008
Last updated
12/03/2018
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