MEDICARE: ROBERT FREY DUNKER 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
1	207Q00000X	Family Medicine Physician	0101036831	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588744726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT FREY DUNKER M.D.

Provider Business Mailing Address
First Line	:	901 SURFSIDE AVE
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-7201
Country	:	US
Telephone Number	:	757-425-7476
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 S WEBB CTR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23529-0001
Country	:	US
Telephone Number	:	757-683-3132
Fax Number	:	757-683-5930

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/08/2007

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