Basic Information
| Provider Information | |||||||||
| NPI: | 1689711335 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUNN | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | DALE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | C.R. DARNALL ARMY MEDICAL CENTER | ||||||||
| Address2: | DEM, 36000 DARNALL LOOP BOX 31 | ||||||||
| City: | FORT HOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765444752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2542888302 | ||||||||
| FaxNumber: | 2542867055 | ||||||||
| Practice Location | |||||||||
| Address1: | C.R. DARNALL ARMY MEDICAL CENTER | ||||||||
| Address2: | DEM, 36000 DARNALL LOOP BOX 31 | ||||||||
| City: | FORT HOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765444752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2542888302 | ||||||||
| FaxNumber: | 2542867055 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | G6500 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.