Provider Demographics
NPI:1124042346
Name:DUNN, TERRY S (MD)
Entity Type:Individual
Prefix:
First Name:TERRY
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 1:850 E HARVARD AVE
Mailing Address - Street 2:SUITE 285
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5073
Mailing Address - Country:US
Mailing Address - Phone:303-282-0006
Mailing Address - Fax:303-282-0066
Practice Address - Street 1:850 E HARVARD AVE
Practice Address - Street 2:SUITE 285
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5073
Practice Address - Country:US
Practice Address - Phone:303-282-0006
Practice Address - Fax:303-282-0066
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28675207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01286756Medicaid
COC806220Medicare PIN
D35606Medicare UPIN