Individual
DR. GUNNAR J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3926 SANDALWOOD LN, PUEBLO, CO 81005-2586
(719) 566-1550
(719) 565-2661
Mailing address
3926 SANDALWOOD LN, PUEBLO, CO 81005-2586
(719) 566-1550
(719) 565-2661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5047
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01008555
RAILROAD MEDICARE
CO
Enumeration date
09/21/2006
Last updated
05/09/2012
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