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Mr. Russell Paul Dunnum, MD
Specialist in San Diego, California
NPI 1396856290

Russell Paul Dunnum is a Specialist based in San Diego, CA. Russell Paul Dunnum practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Russell Paul Dunnum is 1396856290 and holds a License No. G54999 (California).

The current practice location address for Russell Paul Dunnum is 4510 Executive Dr, San Diego, CA and can be reached out via phone at 858-457-4717 and via fax at 858-457-0470.

Location: 4510 Executive Dr, San Diego, CA, 92121-3021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396856290
Provider Name
Russell Paul Dunnum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4510 Executive Dr, San Diego, CA, 92121-3021
Phone Number
858-457-4717
Fax Number
858-457-0470
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OOG549990 05 CA
institution
Provider Business Practice Location Address Details
Address
4510 Executive Dr
City
San Diego
State
California
Zip
92121-3021
Phone Number
858-457-4717
Fax Number
858-457-0470
person
Provider Business Mailing Address Details
Address
4510 Executive Dr
City
San Diego
State
California
Zip
92121-3021
Phone Number
858-457-4717
Fax Number
858-457-0470
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G54999 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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