Provider Demographics
NPI:1760767388
Name:DANTON S DUNGY MD PC
Entity Type:Organization
Organization Name:DANTON S DUNGY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANTON
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUNGY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-201-5711
Mailing Address - Street 1:2121 W CHANDLER BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224
Mailing Address - Country:US
Mailing Address - Phone:480-963-2233
Mailing Address - Fax:
Practice Address - Street 1:2121 W CHANDLER BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6459
Practice Address - Country:US
Practice Address - Phone:480-963-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty