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Individual

MR. IAN F. GUNYEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3219
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-1110

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-004447
VA
363A00000X
Physician Assistant
016932-1
NY
363AS0400X
Surgical Physician Assistant
1013
OK
363AS0400X
Surgical Physician Assistant
Primary
60840316
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200034550A
OK
Enumeration date
11/29/2005
Last updated
04/30/2025
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