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Individual

DR. CLARENCE DUNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
302 MCMILLAN RD, WEST MONROE, LA 71291-5324
(318) 322-2202
(318) 322-9949
Mailing address
302 MCMILLAN RD, WEST MONROE, LA 71291-5324
(318) 322-2202
(318) 322-9949

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021090
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100015461
RAILROAD MEDICARE #
LA
05
1672513
LA
01
721480315
FEDERAL TAX ID
LA
Enumeration date
10/13/2006
Last updated
02/02/2012
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