Individual
DR. PAUL DOUGLAS DUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
5402 W WHISPERING WIND DR, GLENDALE, AZ 85310-2902
(602) 780-4502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11029125
CAQH PROVIDER ID
AZ
Enumeration date
07/05/2006
Last updated
07/08/2007
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