Provider Demographics
NPI:1386724359
Name:DUNSMOOR-SU, REBECCA FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:FRANCES
Last Name:DUNSMOOR-SU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PERIMETER PARK DR STE C
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-9714
Mailing Address - Country:US
Mailing Address - Phone:206-895-4292
Mailing Address - Fax:
Practice Address - Street 1:200 PERIMETER PARK DR STE C
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-9714
Practice Address - Country:US
Practice Address - Phone:206-895-4292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00045013207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8431868Medicaid
336650OtherINTERNAL ID-MOTOR VEHICLE ID
WA8431868Medicaid
8854428Medicare ID - Type Unspecified