Individual
MR. MARK WAYNE DUNAVAN
Active
Individual
MR. MARK WAYNE DUNAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R62890
AR
367500000X
Certified Registered Nurse Anesthetist
9944
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
C001144
AR
Other
Enumeration date
02/21/2006
Last updated
04/06/2020
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