Basic Information
| Provider Information | |||||||||
| NPI: | 1093893497 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DUNLAP FAMILY PHYSICIANS, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 830 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | ORRVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446672291 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306842015 | ||||||||
| FaxNumber: | 3306842075 | ||||||||
| Practice Location | |||||||||
| Address1: | 830 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | ORRVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446672291 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306842015 | ||||||||
| FaxNumber: | 3306842075 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2006 | ||||||||
| LastUpdateDate: | 02/29/2008 | ||||||||
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| AuthorizedOfficialLastName: | MAHONEY | ||||||||
| AuthorizedOfficialFirstName: | MARILYN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | PRACTICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3306842015 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.