Individual
CODI DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 773-8202
(928) 773-8433
Mailing address
3920 E THRUSH LN, FLAGSTAFF, AZ 86004-7709
(928) 606-9306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN116941
AZ
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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