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NPI Code Detail

MEDICARE: DR. PAUL JOSEPH BUNKERS D.C.

MEDICARE:  DR. PAUL JOSEPH BUNKERS  D.C.
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
1111NS0005XSports Physician Chiropractor810SD

General Provider Information

NPI Number : 1205817004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL JOSEPH BUNKERS D.C.
Provider Business Mailing Address
First Line : 229 W 39TH ST STE 300
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-5700
Country : US
Telephone Number : 605-335-7744
Fax Number : 605-373-0343
Provider Business Practice Location Address
First Line : 229 W 39TH ST STE 300
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-5700
Country : US
Telephone Number : 605-335-7744
Fax Number : 605-373-0343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 05/02/2008

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Directions to “ DR. PAUL JOSEPH BUNKERS D.C.” Practice Location

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