Provider Demographics
NPI:1871132548
Name:DUNNING, ANTHONY CLARK
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:CLARK
Last Name:DUNNING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5856 S LOWELL BLVD
Mailing Address - Street 2:UNIT 32 #403
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7915
Mailing Address - Country:US
Mailing Address - Phone:217-821-0759
Mailing Address - Fax:303-922-4640
Practice Address - Street 1:7746 RANNELLS AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63143-1823
Practice Address - Country:US
Practice Address - Phone:636-266-4159
Practice Address - Fax:303-922-4636
Is Sole Proprietor?:No
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic