MEDICARE: PETER DUNNER 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	174400000X	Specialist	0101034105	VA

General Provider Information

NPI Number	:	1932159290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER DUNNER M.D.

Provider Business Mailing Address
First Line	:	3015 WILLIAMS DR
Second Line	:	STE 200
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4623
Country	:	US
Telephone Number	:	703-641-9133
Fax Number	:	703-280-5098

Provider Business Practice Location Address
First Line	:	3022 WILLIAMS DR
Second Line	:	STE 204
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4600
Country	:	US
Telephone Number	:	703-698-8800
Fax Number	:	703-280-5098

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	06/23/2009

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Directions to “ PETER DUNNER M.D.” Practice Location

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