Provider Demographics
NPI:1447271960
Name:DUNN, DEBORAH E (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:E
Last Name:DUNN
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 1:315 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-2803
Mailing Address - Country:US
Mailing Address - Phone:540-631-7337
Mailing Address - Fax:540-631-2337
Practice Address - Street 1:315 W 10TH ST
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-2803
Practice Address - Country:US
Practice Address - Phone:540-631-7337
Practice Address - Fax:540-631-2337
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238490208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010206235Medicaid