Provider Demographics
NPI:1023022258
Name:DUNNINGTON, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:DUNNINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 S OLYMPIC AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1533
Mailing Address - Country:US
Mailing Address - Phone:425-348-8795
Mailing Address - Fax:360-443-7520
Practice Address - Street 1:306 S OLYMPIC AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1533
Practice Address - Country:US
Practice Address - Phone:425-348-8795
Practice Address - Fax:360-443-7520
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA00017629207Q00000X
WAMD00017629207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1659309Medicaid
A09094Medicare UPIN
WAG8896642Medicare PIN