Individual
PUJA GURUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 MEMORIAL DR STE 230, ALTON, IL 62002-6704
(618) 433-6616
Mailing address
4 MEMORIAL DR STE 230, ALTON, IL 62002-6704
(618) 433-6616
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
036131486
IL
207QS1201X
Sleep Medicine (Family Medicine) Physician
2013010523
MO
Other
Enumeration date
08/17/2010
Last updated
03/02/2023
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