Individual
JOHNATHAN GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5201 LEE RD, BUZZARDS BAY, MA 02542-1313
(571) 608-6292
Mailing address
2901 RICHARD BUCK N, WILLIAMSBURG, VA 23185-8325
(907) 942-4385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13875035-1206
UT
Other
Enumeration date
02/27/2018
Last updated
03/14/2024
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