Dr. Leonard L Gunderson, M.D.
in Phoenix, AZ. Individual provider (NPI-1).
NPI number1265416366
StatusActive
Last updated in NPPESOct 29, 2007
Details
- NPI
- 1265416366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leonard L Gunderson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2005
- Last updated
- Oct 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 17918 | AZ | Yes |
Practice location
5779 E Mayo BlvdPhoenix, AZ 85054-4502
Phone 480-301-8000
Mailing address
5779 E Mayo BlvdPhoenix, AZ 85054-4502
Phone 480-301-8000
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