Provider Demographics
NPI:1548408776
Name:ROBERT H. DUNHAM, M.D., INC.
Entity Type:Organization
Organization Name:ROBERT H. DUNHAM, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:DUNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-224-7757
Mailing Address - Street 1:3434 VILLA LN
Mailing Address - Street 2:SUITE 260
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6405
Mailing Address - Country:US
Mailing Address - Phone:707-224-7757
Mailing Address - Fax:707-224-5870
Practice Address - Street 1:3434 VILLA LN
Practice Address - Street 2:SUITE 260
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6405
Practice Address - Country:US
Practice Address - Phone:707-224-7757
Practice Address - Fax:707-224-5870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG744844208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty