Organization
INTERNATIONAL MEDICAL ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL B DUNLEVY MD (PHYSICIAN OWNER)
(916) 967-9300
Entity
Organization
Contact information
Practice address
8653 DEERING BAY DR, LAS VEGAS, NV 89131-1757
(916) 967-9300
(916) 967-9301
Mailing address
PO BOX 15546, SACRAMENTO, CA 95852-0546
(916) 967-9300
(916) 967-9301
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
G61359
CA
261Q00000X
Clinic/Center
Primary
11845
NV
Other
Enumeration date
05/22/2007
Last updated
01/28/2010
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