Individual
PHILLIP BROWN GUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
246 E 1260 N, LOGAN, UT 84341-7501
(435) 750-6300
Mailing address
1102 FOX FARM RD, LOGAN, UT 84321-4808
(480) 316-9141
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10588322-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
5101021267
MI
390200000X
Student in an Organized Health Care Education/Training Program
5315066358
MI
Other
Enumeration date
03/22/2014
Last updated
02/27/2026
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