Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0101X | MOHS-Micrographic Surgeon | 26802 | AZ |
N | 207ND0900X | Dermatopathologist | 0028521 | NC |
N | 207ND0900X | Dermatopathologist | 19249 | SC |
Y | 207ND0900X | Dermatopathologist | 26802 | AZ |
N | 207ND0900X | Dermatopathologist | MD.27538 | AL |
N | 207ND0900X | Dermatopathologist | ME86716 | FL |
N | 207NS0135X | Procedural Dermatology | 19249 | SC |
N | 207NS0135X | Procedural Dermatology | 26802 | AZ |
N | 207R00000X | Internist | 173614-1205 | UT |
N | 111NI0900X | Internist | 173614-1205 | UT |
NPI | 1396868337 |
---|---|
Provider Name | Dr. Donald P Kadunce |
First Address | Scottsdale, AZ 85258-5040 |
Second Address | Lake Havasu City, AZ 86406-8308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 19/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D87731 | (02) | AZ |