Provider Demographics
NPI:1164649414
Name:DUNN, JON HOWARD (ND)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:HOWARD
Last Name:DUNN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74075 EL PASEO
Mailing Address - Street 2:SUITE A9
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4118
Mailing Address - Country:US
Mailing Address - Phone:760-341-6502
Mailing Address - Fax:
Practice Address - Street 1:74075 EL PASEO
Practice Address - Street 2:SUITE A9
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4118
Practice Address - Country:US
Practice Address - Phone:760-341-6502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-108175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath