Provider Demographics
NPI:1871930982
Name:MERRITT W. DUNLAP, MD, PC
Entity type:Organization
Organization Name:MERRITT W. DUNLAP, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-461-0021
Mailing Address - Street 1:412 W JOHN ST STE D
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-8829
Mailing Address - Country:US
Mailing Address - Phone:775-461-0021
Mailing Address - Fax:775-461-0040
Practice Address - Street 1:412 W JOHN ST STE D
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-8829
Practice Address - Country:US
Practice Address - Phone:775-461-0021
Practice Address - Fax:775-461-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8077261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVG89736Medicare UPIN