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NPI Code Detail

MEDICARE: DEBRA DEE DUNHAM CRNA PC

MEDICARE: DEBRA DEE DUNHAM CRNA PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistR0053522OK

General Provider Information

NPI Number : 1033426754
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEBRA DEE DUNHAM CRNA PC
Provider Business Mailing Address
First Line : 419 W GRAY ST
Second Line :
City : NORMAN
State : OK
Zip : 73069-7117
Country : US
Telephone Number : 405-809-4200
Fax Number : 405-364-5379
Provider Business Practice Location Address
First Line : 9801 S PENN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-6925
Country : US
Telephone Number : 405-692-1222
Fax Number : 405-364-5379
Authorized Official
Title or Position : PRESIDENT
Name : DEBRA DEE DUNHAM
Credential : CRNA
Telephone Number : 405-620-0425
Provider Enumeration Date : 09/01/2010
Last Update Date : 09/01/2010

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