Dr James Dunn, DO | |
621 S Mock St, Prairie Grove, AR 72753-3146 | |
(479) 422-7212 | |
(479) 345-5376 |
Full Name | Dr James Dunn |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 621 S Mock St, Prairie Grove, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083643506 | NPI | - | NPPES |
E-0931 | Other | AR | ARKANSAS STATE MEDICAL LICENSE |
154659003 | Medicaid | AR | |
3541 | Other | OK | OKLAHOMA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-0931 (Arkansas) | Primary |
Entity Name | Dr James Dunn Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093027401 PECOS PAC ID: 6608048053 Enrollment ID: O20111007000499 |
Mailing Address | Practice Location Address |
---|---|
Dr James Dunn, DO Po Box 8091, Fayetteville, AR 72703-0001 Ph: (479) 422-7212 | Dr James Dunn, DO 621 S Mock St, Prairie Grove, AR 72753-3146 Ph: (479) 422-7212 |
Dr. Ron D Lee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 E Douglas St, Prairie Grove, AR 72753 Phone: 479-846-5005 Fax: 479-846-5056 | |
Christian G Blankers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 E Douglas St, Prairie Grove, AR 72753 Phone: 479-846-5005 Fax: 479-846-5056 |