Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0101059319 | VA |
NPI | 1003870262 |
---|---|
Provider Name | Alison Ensor Dunn |
First Address | Newport News, VA 23601-1318 |
Second Address | Warsaw, VA 22572-4281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 22/10/2013 |