MEDICARE: PHILLIP DEAN HUNT 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	207P00000X	Emergency Medicine Physician	MD00026168	WA

General Provider Information

NPI Number	:	1437155587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP DEAN HUNT MD

Provider Business Mailing Address
First Line	:	7308 NW DUCKABUSH LN
Second Line	:
City	:	SILVERDALE
State	:	WA
Zip	:	98383-9342
Country	:	US
Telephone Number	:	360-308-9410
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BOONE RD
Second Line	:
City	:	BREMERTON
State	:	WA
Zip	:	98312-1894
Country	:	US
Telephone Number	:	360-475-4286
Fax Number	:

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	07/08/2007

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