Individual
CHRISTOPHER D GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5601 W CHINDEN BLVD, GARDEN CITY, ID 83714-1463
(208) 809-2865
(208) 809-2866
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-742
ID
363AM0700X
Medical Physician Assistant
PA10004402
WA
Other
Enumeration date
08/29/2006
Last updated
12/06/2021
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