Individual
ROBERT E GUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 HARLOW RD, SUITE #200, SPRINGFIELD, OR 97477-1346
(541) 681-8586
(541) 681-8587
Mailing address
PO BOX 53, EUGENE, OR 97440
(541) 681-8586
(541) 681-8587
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD15793
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001144
—
OR
05
—
8402224
—
WA
05
—
MD5205R
—
AK
05
—
MD5206R
—
AK
Enumeration date
07/07/2006
Last updated
01/15/2013
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