Healthcare Provider Details

I. General information

NPI: 1992705644
Provider Name (Legal Business Name): ALISON JENNIFER DUNKERLEY D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: ALISON JENNIFER BRITT

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 S 700 E
SALT LAKE CITY UT
84102-1109
US

IV. Provider business mailing address

144 S 700 E
SALT LAKE CITY UT
84102-1109
US

V. Phone/Fax

Practice location:
  • Phone: 801-532-1822
  • Fax: 801-532-7544
Mailing address:
  • Phone: 801-532-1822
  • Fax: 801-532-7544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number5814206-0501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: