Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 20A6814 | CA |
NPI | 1063555738 |
---|---|
Provider Name | Dr. Michael Patrick Dunn |
First Address | Aptos, CA 95001-2615 |
Second Address | Santa Cruz, CA 95065-1705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 06/11/2009 |