Provider Demographics
NPI:1831682582
Name:DUNN, PARKER JAMES
Entity type:Individual
Prefix:
First Name:PARKER
Middle Name:JAMES
Last Name:DUNN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14901 E 88TH ST N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-4802
Mailing Address - Country:US
Mailing Address - Phone:918-798-0357
Mailing Address - Fax:
Practice Address - Street 1:14901 E 88TH ST N
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4802
Practice Address - Country:US
Practice Address - Phone:918-798-0357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies