Individual
DR. VICTOR H GUNDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 SAINT LANDRY ST, LAFAYETTE, LA 70506-4627
(337) 289-2180
(337) 289-2677
Mailing address
PO BOX 52545, LAFAYETTE, LA 70505-2545
(337) 289-2180
(337) 289-2677
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
011508
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115452
—
LA
Enumeration date
05/20/2006
Last updated
03/28/2008
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