Provider Demographics
NPI:1306176334
Name:DUNNING, JOHN ANDREW (RD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ANDREW
Last Name:DUNNING
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BRIAN ALLGOOD ARMY COMMUNITY HOSPITAL
Mailing Address - Street 2:BLDG 7005, USAG YONGSAN
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205
Mailing Address - Country:US
Mailing Address - Phone:0118227-917-3614
Mailing Address - Fax:
Practice Address - Street 1:BRIAN ALLGOOD ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:BLDG 7005, RM 1509
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205
Practice Address - Country:US
Practice Address - Phone:0118227-917-3614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-14
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7303483-4901133V00000X
IL#1002013133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered