Individual
ALEXIS GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301509982
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
12626002-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
07/10/2024
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