Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | B-376 | NV |
NPI | 1366574402 |
---|---|
Provider Name | Dr. Robert Christopher Bunker |
First Address | Las Vegas, NV 89121-6237 |
Second Address | Las Vegas, NV 89121-6237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 08/07/2007 |