Individual
DOUGLAS L DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8500
(406) 563-8694
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8500
(406) 563-8694
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12722
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12722
STATE LICENSE
MT
Enumeration date
04/13/2008
Last updated
02/11/2019
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