Individual
MR. ETHAN TYLER DUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 996-5111
Mailing address
918 CAHABA RIVER PARC, BIRMINGHAM, AL 35243-3264
(334) 467-0124
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
1-149801
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-149801
AL
Other
Enumeration date
04/22/2019
Last updated
06/29/2023
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