TODD MICHAEL DUNAWAY DO
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1487383238- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 910 NW 16TH ST STE 101, FRUITLAND, ID, 836192265
- Phone
- (208) 452-8100
- Fax
- (208) 452-8111
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: ID #2481401
Family Medicine
License: IN #11022165A
Family Medicine
License: NC #2025-01574