Individual
NOEL DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1000
(253) 968-5974
Mailing address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-5974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29436
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29436
MEDICAL LICENSE
NE
Enumeration date
02/23/2015
Last updated
10/12/2016
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