Individual
JARED DUANE GUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6112 E BROWN RD, MESA, AZ 85205-4955
(480) 924-4422
Mailing address
6112 E BROWN RD, MESA, AZ 85205-4955
(480) 924-4422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
Other
Enumeration date
08/30/2012
Last updated
03/06/2014
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