Individual
DR. PHILIP LOREN DUNIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
TOPEKA VA MEDICAL CTR, 2200 GAGE BLVD., TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
TOPEKA VA MEDICAL CTR, 2200 GAGE BLVD., TOPEKA, KS 66622-0001
(785) 350-3111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-19330
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052496
BC/BS PREMIER BLUE
KS
05
—
100129540C
—
KS
Enumeration date
06/27/2006
Last updated
05/13/2009
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