Provider Demographics
NPI:1881850600
Name:MARTIN-DUNLAP, TONYA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:TONYA
Middle Name:MICHELLE
Last Name:MARTIN-DUNLAP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:500 S UNIVERSITY AVE
Mailing Address - Street 2:SUITE 219
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5302
Mailing Address - Country:US
Mailing Address - Phone:501-552-8780
Mailing Address - Fax:501-978-0084
Practice Address - Street 1:500 S UNIVERSITY AVE
Practice Address - Street 2:SUITE 219
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5302
Practice Address - Country:US
Practice Address - Phone:501-552-8780
Practice Address - Fax:501-978-0084
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-7623208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery