Healthcare Provider Details

I. General information

NPI: 1346400090
Provider Name (Legal Business Name): IAN F DUNN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N LINCOLN BLVD # 4000
OKLAHOMA CITY OK
73104-3252
US

IV. Provider business mailing address

920 STANTON L YOUNG BLVD # 2410
OKLAHOMA CITY OK
73104-5036
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-8299
  • Fax: 405-271-3091
Mailing address:
  • Phone: 405-271-8299
  • Fax: 405-271-3091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number237075
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number34229
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberE-6083
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: