Individual
DR. EDWARD EARL GUNDRUM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10950 CHURCH ST, APT. 4423, RANCHO CUCAMONGA, CA 91730-8056
(909) 941-9718
Mailing address
26520 CACTUS AVE, ANESTHESIA DEPARTMENT, MORENO VALLEY, CA 92555-3927
(951) 486-4574
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A8979
CA
Other
Enumeration date
06/04/2007
Last updated
06/13/2014
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