Individual
MR. DAVID JOHN BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4610 LEARNED SAGE, ELLICOTT CITY, MD 21042
(301) 807-4095
Mailing address
4610 LEARNED SAGE, ELLICOTT CITY, MD 21042-5932
(301) 807-4095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001517
CT
Other
Enumeration date
09/13/2006
Last updated
07/25/2007
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