Healthcare Provider Details

I. General information

NPI: 1316711831
Provider Name (Legal Business Name): FRANCES DUNTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 CAPITOLA RD
SANTA CRUZ CA
95062-2844
US

IV. Provider business mailing address

704 N PLYMOUTH ST
SANTA CRUZ CA
95060-1936
US

V. Phone/Fax

Practice location:
  • Phone: 831-475-4055
  • Fax:
Mailing address:
  • Phone: 831-818-3977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number52954
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: