MEDICARE: DR. JULIE A 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	208600000X	Surgery Physician	MD25837	TN
2	208600000X	Surgery Physician	DR.0050346	CO

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	:	1972596070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE A DUNN MD

Provider Business Mailing Address
First Line	:	2500 ROCKY MOUNTAIN AVE
Second Line	:	STE 2200
City	:	LOVELAND
State	:	CO
Zip	:	80538-9004
Country	:	US
Telephone Number	:	970-203-7520
Fax Number	:	970-203-7256

Provider Business Practice Location Address
First Line	:	2500 ROCKY MOUNTAIN AVE
Second Line	:	STE 2200
City	:	LOVELAND
State	:	CO
Zip	:	80538-9004
Country	:	US
Telephone Number	:	970-203-7520
Fax Number	:	970-203-7256

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	01/09/2017

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