Individual
DAVID G BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4376 7TH ST, MOLINE, IL 61265-6867
(309) 762-0777
(309) 762-0077
Mailing address
4376 7TH ST, MOLINE, IL 61265-6867
(309) 762-0777
(309) 762-0077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-087189
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087189
—
IL
05
—
0568980
—
IA
05
—
0568998
—
IA
01
—
094112
HEALTH ALLIANCE
IL
01
—
336049157
CONTROLLED SUBSTANCE#
IL
01
—
421060724
BILLING TAX ID# FOR CHC
IA
05
—
421060724003
—
IL
01
—
421060724A4
JOHN DEERE HEALTH
IL
01
—
8122859
ILLINOIS BC/BS
IL
01
—
93613
IOWA BC/BS SEEN IN MOLINE
IL
01
—
IL01A4
JOHN DEERE EDI#
IL
Enumeration date
09/07/2005
Last updated
03/07/2023
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