Organization · NPI-2

David A. Dunworth, D.O., P.C.

Surgery · Farmington, NM

NPI number1356624852
StatusActive
Last updated in NPPESOct 11, 2013

Details

NPI
1356624852
Entity type
Organization (NPI-2)
Legal business name
David A. Dunworth, D.O., P.C.
Organization subpart
No
Enumeration date
Sep 21, 2011
Last updated
Oct 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryA-111099NMYes

Practice location

802 E Navajo St
Farmington, NM 87401-9119

Phone 505-215-1120

Mailing address

802 E Navajo St
Farmington, NM 87401-9119

Phone 505-215-1120

Authorized official

David Alan Dunworth
Surgeon
5052151120

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