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Organization

ANNA GUNDERSON INTEGRATIVE MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA M GUNDERSON PA-C (OWNER)
(208) 783-3115
Entity
Organization

Contact information

Practice address
1510 RIVER MEADOWS DR, VICTOR, ID 83455-4795
(208) 783-3115
(800) 859-4576
Mailing address
PO BOX 1104, VICTOR, ID 83455-1032

Taxonomy

Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
363AM0700X
Medical Physician Assistant

Other

Enumeration date
01/16/2026
Last updated
01/23/2026
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