Doctor Name: | TERRY DUNSON |
NPI Number: | 1043606577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1088422 |
Business Practice Address: | 1015 Medical Center Pkwy Selma, AL - 367016748 |
Business Phone Number: | 3344186646 |
Business Fax Number: | 3344186647 |
Mailing Address: | Po Box 708760, SANDY |
State: | UT |
Postal Code: | 840708760 |
Phone Number: | 8013529500 |
Fax Number: | 8013527976 |
NPI Enumeration Date: | 04/10/2015 |
NPI Last Update Date: | 04/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 1088422 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |