Individual
DR. JAMES DEAN BUNKER
Active
Individual
DR. JAMES DEAN BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20039
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004736
AAD ID NUMBER
NE
01
—
070008889
RAILROAD MEDICARE NUMBER
NE
01
—
20039
NE MEDICAL LICENSE
NE
01
—
28D0913222
CLIA CERTIFICATION NUMBER
NE
01
—
31026
BC/BS PROVIDER NUMBER
NE
01
—
470797269
UPREHS PROVIDER NUMBER
NE
05
—
47079726900
—
NE
Enumeration date
09/13/2005
Last updated
08/17/2023
Update your record
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