Organization
CARSON UROLOGISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A CUNNINGHAM M.D. (PRESIDENT)
(775) 883-1030
Entity
Organization
Contact information
Practice address
412 W JOHN ST, #1B, CARSON CITY, NV 89703-8811
(775) 883-1030
(775) 883-4677
Mailing address
412 W JOHN ST, #1B, CARSON CITY, NV 89703-8811
(775) 883-1030
(775) 883-4677
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC9684
ANTHEM BCBS NEVADA
NV
01
—
CR1134
RR MEDICARE
NV
Enumeration date
03/06/2007
Last updated
08/22/2020
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