Gundry, Steven R

Gundry, Steven R is an individual health care provider with primary practice located at 555 E Tachevah Dr 3W-103, Palm Springs CA 92262-5750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gundry, Steven R can be contacted via phone (760) 323-5553.

Contact Information

Primary practice address
555 E Tachevah Dr 3W-103 Palm Springs CA 92262-5750
Phone: (760) 323-5553
Fax: (760) 323-5554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G65020 California

Profile Details

NPI number 1801889050
LBN Legal business name Gundry, Steven R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801889050 NPPES
California MEDICAID 00G650200

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