| Clarence Butch Dunn Jr Md A Medical Corporation | |
|
302 Mcmillan Rd West Monroe LA 71291-5324 | |
| (318) 322-2202 | |
| (318) 322-9949 |
| Full Name | Clarence Butch Dunn Jr Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 302 Mcmillan Rd, West Monroe, Louisiana |
| Authorized Official Name and Position | Clarence B Dunn (DR) |
| Authorized Official Contact | 3183222202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarence Butch Dunn Jr Md A Medical Corporation 302 Mcmillan Rd West Monroe LA 71291-5324 Ph: (318) 322-2202 | Clarence Butch Dunn Jr Md A Medical Corporation 302 Mcmillan Rd West Monroe LA 71291-5324 Ph: (318) 322-2202 |
| NPI Number | 1386803773 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 02/02/2012 |
| Medicare PECOS PAC ID | 7416130505 |
|---|---|
| Medicare Enrollment ID | O20110328000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386803773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 021090 (Louisiana) | Primary |
| Provider Name | Clarence Dunn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770673568 PECOS PAC ID: 7719964568 Enrollment ID: I20080918000057 |
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