Samuel James Dunleavy, MD
Emergency Medicine in Fort Riley, KS. Individual provider (NPI-1).
NPI number1982108619
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1982108619
- Entity type
- Individual (NPI-1)
- Name
- Samuel James Dunleavy
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2018
- Certification date
- Jun 28, 2024
- Last updated
- Jun 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | CDRH.0068833 | CO | Yes |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | CDRH.0068833 | CO |
Other names
- James Dunleavy Yeaton (Former Name)
Practice location
650 Huebner RdFort Riley, KS 66442-4030
Phone 785-239-3627
Mailing address
650 Huebner RdFort Riley, KS 66442-4030
Phone 785-239-3627
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All 10 Emergency Medicine Physician providers in Fort Riley · All 526 providers in Fort Riley
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