Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 34003493 | OH |
Y | 207Q00000X | Family Doctor | 34.003493 | OH |
NPI | 1013993054 |
---|---|
Provider Name | Dr. David R. Dunkin |
First Address | Richwood, OH 43344-1138 |
Second Address | Richwood, OH 43344-1138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 14/02/2020 |