Provider Demographics
NPI:1659053155
Name:DUNN, CURTIS OWEN JR (PA-C)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:OWEN
Last Name:DUNN
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR BLUFF
Mailing Address - State:VA
Mailing Address - Zip Code:24609-1137
Mailing Address - Country:US
Mailing Address - Phone:831-252-8225
Mailing Address - Fax:
Practice Address - Street 1:196 CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:CEDAR BLUFF
Practice Address - State:VA
Practice Address - Zip Code:24609-1137
Practice Address - Country:US
Practice Address - Phone:831-252-8225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant