Individual
TANJA LEA GUNSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016
(602) 263-1200
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307930
—
AZ
Enumeration date
06/01/2007
Last updated
05/09/2019
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