Provider Demographics
NPI:1518234970
Name:DUNN, MELVIN DUSTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:DUSTIN
Last Name:DUNN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WRAY
Mailing Address - State:CO
Mailing Address - Zip Code:80758-1726
Mailing Address - Country:US
Mailing Address - Phone:970-332-4336
Mailing Address - Fax:970-332-0687
Practice Address - Street 1:363 W 2ND ST
Practice Address - Street 2:
Practice Address - City:WRAY
Practice Address - State:CO
Practice Address - Zip Code:80758-1009
Practice Address - Country:US
Practice Address - Phone:970-332-4336
Practice Address - Fax:970-332-4336
Is Sole Proprietor?:No
Enumeration Date:2011-11-29
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR 6776111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor