Healthcare Provider Details

I. General information

NPI: 1558595306
Provider Name (Legal Business Name): WILLIAM JONATHAN DUNKMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2009
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF ANESTHESIOLOGY BOX 3094 DUKE UNIVERSITY HEALTH SYSTEM
DURHAM NC
27710-0001
US

IV. Provider business mailing address

DEPARTMENT OF ANESTHESIOLOGY BOX 3094 DUKE UNIVERSITY HEALTH SYSTEM
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-9660
  • Fax:
Mailing address:
  • Phone: 919-681-9660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT195099
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMT195099
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2015-00584
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD447609
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: