Dunagan, Clarence Michael

Dunagan, Clarence Michael is an individual health care provider with primary practice located at 3100 N Tenaya Way , Las Vegas NV 89128-0436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Dunagan, Clarence Michael can be contacted via phone (972) 915-3600.

Contact Information

Primary practice address
3100 N Tenaya Way Las Vegas NV 89128-0436
Phone: (972) 915-3600
Fax: (972) 915-3636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 11088 Nevada

Profile Details

NPI number 1972505675
LBN Legal business name Dunagan, Clarence Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972505675 NPPES
Nevada MEDICAID 100503752

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