Individual
JONATHAN B GUNTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1735 N STATE ST, PROVO, UT 84604
(801) 379-2904
(801) 379-2959
Mailing address
1735 N STATE ST, PROVO, UT 84604-1010
(801) 379-2904
(801) 379-2959
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
1352-TEP
WI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
7161573-1205
UT
Other
Enumeration date
04/19/2006
Last updated
06/28/2018
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