Individual
MARK C GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5330
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5330
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016815
—
NV
05
—
201660009
—
NV
01
—
CC3683
BC/BS
NV
Enumeration date
03/17/2006
Last updated
04/21/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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