Provider Demographics
NPI:1093700528
Name:DUNN, JAMES SANDIDGE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SANDIDGE
Last Name:DUNN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:11795 EDUCATION STREET
Mailing Address - Street 2:SUITE 222
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-2469
Mailing Address - Country:US
Mailing Address - Phone:530-886-6660
Mailing Address - Fax:530-886-6656
Practice Address - Street 1:11795 EDUCATION STREET
Practice Address - Street 2:SUITE 222
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-2469
Practice Address - Country:US
Practice Address - Phone:530-886-6660
Practice Address - Fax:530-886-6656
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2008-08-14
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Provider Licenses
StateLicense IDTaxonomies
CA84568207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A845680Medicaid
CAP00446961OtherRAILROAD MEDICARE