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Individual

DR. DOUGLAS L BUNTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1619 CREIGHTON RD STE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 444-7497
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-7000
(850) 444-7497

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
9500850
NC
207RN0300X
Nephrology Physician
MD.31814
AL
207RN0300X
Nephrology Physician
Primary
ME114135
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008261000
FL
01
9500850
N. CAROLINA MEDICAL LICENSE
NC
01
MD.31814
ALABAMA MEDICAL LICENSE
AL
01
ME114135
FLORIDA MEDICAL LICENSE
FL
01
P01181590
ALABAMA RAILROAD MEDICARE
AL
01
P01183151
FLORIDA RAILROAD MEDICARE
FL
Enumeration date
09/06/2005
Last updated
07/21/2022
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