Individual
DR. JUNE REBECCA TUNSTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401-405 HOPEWELL STREET, HOPEWELL, VA 23860-2817
(804) 458-6396
(804) 458-4934
Mailing address
67 COLONIAL TRL E, PO BOX 354, SURRY, VA 23883-9997
(757) 294-3188
(757) 294-0108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101029877
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080000318
MEDICARE
VA
01
—
080003465
MEDICARE
VA
05
—
5650569
—
VA
05
—
5679818
—
VA
Enumeration date
01/20/2006
Last updated
11/09/2007
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