Colin Michael Dunderdale, PA-C Valid NPI

Individual provider · Physician Assistant · Fort Sam Houston, TX

NPI

1235223975

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA09795 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-03

Last updated

2023-01-17