Doctor Name: | MR. GARY ALLEN DUNLAP |
NPI Number: | 1467564237 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 2045 |
Business Practice Address: | 2640 Saint Charles Ave Dayton, OH - 454103147 |
Business Phone Number: | 9372536741 |
Business Fax Number: | 9372532431 |
Mailing Address: | 2640 Saint Charles Ave, DAYTON |
State: | OH |
Postal Code: | 454103147 |
Phone Number: | 9372536741 |
Fax Number: | 9372532431 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |