MEDICARE: DR. DUANE DUMM DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	SC004164R	PA

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	:	1609879816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUANE DUMM DPM

Provider Business Mailing Address
First Line	:	2727 BEALE AVE
Second Line	:	SUITE A
City	:	ALTOONA
State	:	PA
Zip	:	16601-1705
Country	:	US
Telephone Number	:	814-946-1075
Fax Number	:	814-946-4076

Provider Business Practice Location Address
First Line	:	1012 BIGLER AVE
Second Line	:	LOWER LEVEL
City	:	NORTHERN CAMBRIA
State	:	PA
Zip	:	15714-0000
Country	:	US
Telephone Number	:	814-948-4000
Fax Number	:	814-948-2021

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/28/2011

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