Provider Demographics
NPI:1356018782
Name:DUNLAP, DAVID MCNEEL (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MCNEEL
Last Name:DUNLAP
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:1832 ALPINE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91901-2107
Mailing Address - Country:US
Mailing Address - Phone:619-326-4445
Mailing Address - Fax:
Practice Address - Street 1:1832 ALPINE BLVD STE B
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-2107
Practice Address - Country:US
Practice Address - Phone:619-326-4445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA59782363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty