Provider Demographics
NPI:1386723302
Name:JAMES C DUNN MD PC
Entity type:Organization
Organization Name:JAMES C DUNN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-885-1010
Mailing Address - Street 1:4975 W VIA SCARAMUZZO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-8976
Mailing Address - Country:US
Mailing Address - Phone:520-885-1010
Mailing Address - Fax:520-622-0403
Practice Address - Street 1:4975 W VIA SCARAMUZZO
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-8976
Practice Address - Country:US
Practice Address - Phone:520-885-1010
Practice Address - Fax:520-622-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10159208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1Z2293OtherHEALTHNET
AZ231952(DUNN1)OtherAHCCCS, APIPA, MERCY CARE
AZ231952(DUNN1)OtherAHCCCS, APIPA, MERCY CARE