MEDICARE: DR. GERALD WAYNE DUNN MD

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
1	2084N0400X	Neurology Physician	NV2827	NV

General Provider Information

NPI Number	:	1285894881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD WAYNE DUNN MD

Provider Business Mailing Address
First Line	:	10432 PROFONDO CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2564
Country	:	US
Telephone Number	:	702-610-3933
Fax Number	:	702-446-5087

Provider Business Practice Location Address
First Line	:	10432 PROFONDO CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2564
Country	:	US
Telephone Number	:	702-610-3933
Fax Number	:	702-446-5087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	11/16/2009

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