| Doctor Name: | JACKY FRED DUNN |
| NPI Number: | 1235195306 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | N7589 |
| Business Practice Address: | 1605 West C Place Russellville, AR - 728013363 |
| Business Phone Number: | 4798909355 |
| Business Fax Number: | |
| Mailing Address: | Po Box 11089, RUSSELLVILLE |
| State: | AR |
| Postal Code: | 728121089 |
| Phone Number: | 4798909355 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 06/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | N7589 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |