Provider Demographics
NPI:1992044374
Name:DUNHAM, JEFFREY SHERIDAN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:SHERIDAN
Last Name:DUNHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1751 N SUNRISE WAY
Mailing Address - Street 2:SUITE E
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-3408
Mailing Address - Country:US
Mailing Address - Phone:760-327-2277
Mailing Address - Fax:760-325-4031
Practice Address - Street 1:1751 N SUNRISE WAY
Practice Address - Street 2:SUITE E
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-3408
Practice Address - Country:US
Practice Address - Phone:760-327-2277
Practice Address - Fax:760-325-4031
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG535242083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine