MEDICARE: ALISON JENNIFER DUNKERLEY D.P.M.

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	213ES0131X	Foot Surgery Podiatrist	5814206-0501	UT

General Provider Information

NPI Number	:	1992705644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON JENNIFER DUNKERLEY D.P.M.

Provider Business Mailing Address
First Line	:	144 S 700 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1109
Country	:	US
Telephone Number	:	801-532-1822
Fax Number	:	801-532-7544

Provider Business Practice Location Address
First Line	:	144 S 700 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1109
Country	:	US
Telephone Number	:	801-532-1822
Fax Number	:	801-532-7544

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	07/08/2007

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