Individual provider · NPI-1
Dr. David Abdun-Nur, M.D.
Family Medicine · Grants Pass, OR
NPI number1396737847
StatusActive
Last updated in NPPESJan 24, 2024
Details
- NPI
- 1396737847
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Abdun-Nur
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2005
- Certification date
- Jan 24, 2024
- Last updated
- Jan 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD18589 | OR | Yes |
Practice location
741 Ne 6th StGrants Pass, OR 97526-1556
Phone 541-471-2701 · Fax 541-471-1166
Mailing address
1701 Ne 7th StGrants Pass, OR 97526-1319
Phone 541-471-2701 · Fax 541-471-1166
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