Provider Demographics
NPI:1700851870
Name:DUNHAM, ROBERT H (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
Last Name:DUNHAM
Suffix:
Gender:M
Credentials:MD
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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
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2021-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG74484208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G744840Medicare PIN