Organization Name: | DR JAMES DUNN PLLC |
NPI Number: | 1093027401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN MILLER (BILLING SUPERVISOR) |
Mailing Address: | 4368 E Churchill Dr Fayetteville |
State: | AR US |
Postal Code: | 727012988 |
Phone Number: | 4794424553 |
Fax Number: | 4792511006 |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |