| Dr James Dunn Pllc | |
|
621 S Mock St Prairie Grove AR 72753-3146 | |
| (479) 422-7212 | |
| (479) 345-5376 |
| Full Name | Dr James Dunn Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 621 S Mock St, Prairie Grove, Arkansas |
| Authorized Official Name and Position | James R Dunn (SOLE OWNER) |
| Authorized Official Contact | 4794227212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Dunn Pllc Po Box 8091 Fayetteville AR 72703-0001 Ph: (479) 422-7212 | Dr James Dunn Pllc 621 S Mock St Prairie Grove AR 72753-3146 Ph: (479) 422-7212 |
| NPI Number | 1093027401 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 11/12/2024 |
| Medicare PECOS PAC ID | 6608048053 |
|---|---|
| Medicare Enrollment ID | O20111007000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093027401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James Robert Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083643506 PECOS PAC ID: 5193613016 Enrollment ID: I20040607001298 |
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