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1508095753 NPI number — CRAIG BRENT HUNTER DO

NPI Number: 1508095753
Health Care Provider/Practitioner: CRAIG BRENT HUNTER DO

Information about “1508095753” NPI (CRAIG BRENT HUNTER DO) exists in 1508095753 in HTML format HTML  |  1508095753 in plain Text format TXT  |  1508095753 in PDF (Portable Document Format) PDF  |  1508095753 in an XML format XML  formats.

NPI Number : 1508095753 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508095753",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUNTER",
    "FirstName": "CRAIG",
    "MiddleName": "BRENT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7150 W SUNSET RD STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89113-1982",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-508-3677",
    "MailingAddressFaxNumber": "702-508-3677",
    "FirstLinePracticeLocationAddress": "3150 N TENAYA WAY STE 480",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89128-0494",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-577-0024",
    "PracticeLocationAddressFaxNumber": "702-608-4737",
    "EnumerationDate": "07/09/2009",
    "LastUpdateDate": "09/20/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208800000X",
        "TaxonomyName": "Urology Physician",
        "LicenseNumber": "DO1904",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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