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NPI Code Detail

MEDICARE: DR. DAVID C DUNNINGTON MD

MEDICARE: DR. DAVID C DUNNINGTON 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
1207Q00000XFamily Medicine Physician01058449AIN

General Provider Information

NPI Number : 1700834397
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID C DUNNINGTON MD
Provider Business Mailing Address
First Line : 430 W VOTAW ST
Second Line :
City : PORTLAND
State : IN
Zip : 47371-1302
Country : US
Telephone Number : 260-726-6515
Fax Number : 260-726-6535
Provider Business Practice Location Address
First Line : 430 W VOTAW ST
Second Line :
City : PORTLAND
State : IN
Zip : 47371-1302
Country : US
Telephone Number : 260-726-6515
Fax Number : 260-726-6535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 07/09/2007

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Directions to “ DR. DAVID C DUNNINGTON MD” Practice Location

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