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NPI Code Detail

MEDICARE: MR. GARY N DUNAYE P.A.

MEDICARE: MR. GARY N DUNAYE P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA11993CA

General Provider Information

NPI Number : 1033324827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY N DUNAYE P.A.
Provider Business Mailing Address
First Line : 1980 BROADWAY
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-9001
Country : US
Telephone Number : 530-622-3536
Fax Number : 530-622-3538
Provider Business Practice Location Address
First Line : 3160 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4403
Country : US
Telephone Number : 916-792-9285
Fax Number : 916-492-9398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 02/28/2018

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