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Individual

DR. BRYAN ANDREW GUNNOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(928) 425-3247
Mailing address
PO BOX 67, GLOBE, AZ 85502-0067
(928) 425-3247

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22817
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191594
AZ
05
242598
OR
Enumeration date
04/20/2006
Last updated
06/22/2015
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