Individual
NANCY ELIZABETH GUNDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 408-6220
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-6220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
380322-1205
UT
207R00000X
Internal Medicine Physician
49731
MN
208M00000X
Hospitalist Physician
Primary
380322-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647655000
—
MN
Enumeration date
05/09/2007
Last updated
07/10/2017
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