Individual
MARK GUNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
485 S DOBSON RD, SUITE 201, CHANDLER, AZ 85224-5602
(480) 728-4700
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M5738
TX
2086S0102X
Surgical Critical Care Physician
Primary
49959
AZ
2086S0102X
Surgical Critical Care Physician
A93582
CA
2086S0102X
Surgical Critical Care Physician
M5738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188326603
—
TX
01
—
188326604
CSHCN ( MEDICAID)
TX
Enumeration date
01/11/2006
Last updated
02/17/2015
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