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NPI Code Detail

MEDICARE: DR. DAVID KEITH DUNIGAN M.D.

MEDICARE:  DR. DAVID KEITH DUNIGAN  M.D.
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
12085R0202XDiagnostic Radiology Physician10267MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00336989OTHERMSRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1184663106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID KEITH DUNIGAN M.D.
Provider Business Mailing Address
First Line : 314 POINTE DR
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-6224
Country : US
Telephone Number : 662-324-9732
Fax Number :
Provider Business Practice Location Address
First Line : 121 E BAKER ST
Second Line :
City : INDIANOLA
State : MS
Zip : 38751-2450
Country : US
Telephone Number : 662-887-5235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 04/29/2014

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Directions to “ DR. DAVID KEITH DUNIGAN M.D.” Practice Location

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