Individual
GENE M GUDMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
202 WEST MAIN ST, WHITE SULPHUR SPRINGS, MT 59645-0724
(406) 547-3377
(406) 547-3378
Mailing address
PO BOX 724, WHITE SULPHUR SPRINGS, MT 59645-0724
(406) 547-3377
(406) 547-3378
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
393
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42030
BLUE CROSS BLUE SHIELD
MT
Enumeration date
05/23/2007
Last updated
07/08/2007
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