Organization Name: | STEPHANIE M. DUNBAR LLC |
NPI Number: | 1003209495 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE MILLER DUNBAR (PRESIDENT) |
Mailing Address: | 1210 Forest Oak Ct Bel Air |
State: | MD US |
Postal Code: | 210156170 |
Phone Number: | 4106887792 |
Fax Number: | 4108368064 |
NPI Enumeration Date: | 03/10/2015 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |