Provider Demographics
NPI:1114241429
Name:DUNN, DEBORAH S (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:S
Last Name:DUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17510 88TH STREET KPS
Mailing Address - Street 2:
Mailing Address - City:LONGBRANCH
Mailing Address - State:WA
Mailing Address - Zip Code:98351-6504
Mailing Address - Country:US
Mailing Address - Phone:352-443-9009
Mailing Address - Fax:
Practice Address - Street 1:17510 88TH STREET KP S
Practice Address - Street 2:
Practice Address - City:LONGBRANCH
Practice Address - State:WA
Practice Address - Zip Code:98351-9630
Practice Address - Country:US
Practice Address - Phone:352-443-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 92698207W00000X
WAMD 00022386207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology