Provider Demographics
NPI:1821130832
Name:MCCUNE, DONALD EARL (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EARL
Last Name:MCCUNE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13711 CAMINO DEL SOL
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4433
Mailing Address - Country:US
Mailing Address - Phone:623-977-1421
Mailing Address - Fax:
Practice Address - Street 1:13711 CAMINO DEL SOL
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4433
Practice Address - Country:US
Practice Address - Phone:623-977-1421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor