Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 60158 | MT |
NPI | 1750673687 |
---|---|
Provider Name | Joel David Dunn |
First Address | Billings, MT 59101-7590 |
Second Address | Billings, MT 59101-7590 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 28/10/2021 |