Organization
DAVID A. DUNWORTH, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALAN DUNWORTH D.O. (SURGEON)
(505) 215-1120
Entity
Organization
Contact information
Practice address
802 E NAVAJO ST, FARMINGTON, NM 87401-9119
(505) 215-1120
Mailing address
802 E NAVAJO ST, FARMINGTON, NM 87401-9119
(505) 215-1120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A-111099
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93151870
—
NM
01
—
DT0793
RR MEDICARE
NM
Enumeration date
09/21/2011
Last updated
10/11/2013
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