Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD00034776 | WA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 300997 | LA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD00034776 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD00034776 | WA |
NPI | 1740256759 |
---|---|
Provider Name | James N Dunlap |
First Address | Lafayette, LA 70508-6908 |
Second Address | Davenport, WA 99122-9729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 14/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003201800 | (05) | ID |
1017807 | (05) | WA |
1901377 | (05) | LA |
6033DU | ASURIS (01) | WA |
8207474 | (05) | WA |
P00695041 | RR MEDICARE (01) | WA |