Provider Demographics
NPI:1457476756
Name:DUNBAR, SAMUEL ROSS JR (ND)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:ROSS
Last Name:DUNBAR
Suffix:JR
Gender:M
Credentials:ND
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Mailing Address - Street 1:1722 W PINE CONE WAY
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-7105
Mailing Address - Country:US
Mailing Address - Phone:928-443-5578
Mailing Address - Fax:928-777-0482
Practice Address - Street 1:810 W GURLEY ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-3624
Practice Address - Country:US
Practice Address - Phone:928-445-1999
Practice Address - Fax:928-445-9599
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ02-690175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath