Provider Demographics
NPI:1639871429
Name:DUNLAP, JAMES BRIAN (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BRIAN
Last Name:DUNLAP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 E MARKET ST FL 7
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-6608
Mailing Address - Country:US
Mailing Address - Phone:330-675-5706
Mailing Address - Fax:330-675-5720
Practice Address - Street 1:1350 E MARKET ST FL 7
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-6608
Practice Address - Country:US
Practice Address - Phone:330-841-9470
Practice Address - Fax:330-688-4065
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program