Individual
CLARENCE MICHAEL DUNAGAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(972) 915-3600
(972) 915-3636
Mailing address
9229 LBJ FWY, STE 250, DALLAS, TX 75243-3405
(800) 346-0747
(972) 739-2638
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
11088
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503752
—
NV
Enumeration date
08/11/2005
Last updated
07/28/2010
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