Individual
DR. GREGORY LOUIS DUNGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6600 MADISON ST FL 2, NEW PORT RICHEY, FL 34652-1971
(727) 815-7208
(727) 266-4951
Mailing address
6600 MADISON ST FL 2, NEW PORT RICHEY, FL 34652-1971
(727) 815-7208
(727) 266-4951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS14210
FL
207QA0505X
Adult Medicine Physician
UO4433
FL
208M00000X
Hospitalist Physician
Primary
OS14210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025001200
—
FL
Enumeration date
06/24/2016
Last updated
03/21/2022
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