Individual
BRIAN JEFFERSON DUNFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4785
Mailing address
3003 SETH WILLIAMS BLVD, CAMP LEJEUNE, NC 28547-1402
(870) 635-2074
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
44110
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
7466
NC
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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