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NPI Code Detail

MEDICARE: DUNNE MEDICAL LTD

MEDICARE: DUNNE MEDICAL LTD
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 Physician

General Provider Information

NPI Number : 1356338123
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUNNE MEDICAL LTD
Provider Business Mailing Address
First Line : PO BOX 3396
Second Line :
City : EVANSVILLE
State : IN
Zip : 47732-3396
Country : US
Telephone Number : 812-471-1591
Fax Number : 812-471-6650
Provider Business Practice Location Address
First Line : 1520 N DIVISION ST
Second Line :
City : BLYTHEVILLE
State : AR
Zip : 72315-1448
Country : US
Telephone Number : 870-838-7300
Fax Number : 812-471-6650
Authorized Official
Title or Position : PRESIDENT
Name : JAMES P DUNNE
Credential : MD
Telephone Number : 812-471-1591
Provider Enumeration Date : 10/05/2005
Last Update Date : 08/22/2020

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Directions to “DUNNE MEDICAL LTD ” Practice Location

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