MEDICARE: DR. REBECCA FRANCES DUNSMOOR-SU MD

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
1	207V00000X	Obstetrics & Gynecology Physician	MD00045013	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386724359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA FRANCES DUNSMOOR-SU MD

Provider Business Mailing Address
First Line	:	200 PERIMETER PARK DR STE C
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-9714
Country	:	US
Telephone Number	:	206-895-4292
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 PERIMETER PARK DR STE C
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-9714
Country	:	US
Telephone Number	:	206-895-4292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	08/21/2024

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