Healthcare Provider Details

I. General information

NPI: 1114965605
Provider Name (Legal Business Name): MICHAEL PATRICK DUNN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E WILLIAMS FIELD RD STE 101
GILBERT AZ
85295-4880
US

IV. Provider business mailing address

920 E WILLIAMS FIELD RD STE 101
GILBERT AZ
85295-4880
US

V. Phone/Fax

Practice location:
  • Phone: 480-499-0201
  • Fax: 480-499-0203
Mailing address:
  • Phone: 480-499-0201
  • Fax: 480-499-0203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number30333
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number30333
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: