Provider Demographics
NPI:1174538979
Name:DUNN, MONTY M (MD)
Entity type:Individual
Prefix:DR
First Name:MONTY
Middle Name:M
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1760 PACIFIC AVENUE
Mailing Address - Street 2:APT 6
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94910-2400
Mailing Address - Country:US
Mailing Address - Phone:888-991-1101
Mailing Address - Fax:903-787-5854
Practice Address - Street 1:80 GRAND AVE STE 250
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3743
Practice Address - Country:US
Practice Address - Phone:510-451-1875
Practice Address - Fax:510-839-9588
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2017-07-05
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Provider Licenses
StateLicense IDTaxonomies
CAG78778207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G787784Medicaid
00G787784Medicare PIN
G19528Medicare UPIN