Individual
GARY M AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-7433
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(316) 464-7433
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
21983
NE
2085P0229X
Pediatric Radiology Physician
28490
SC
2085P0229X
Pediatric Radiology Physician
35.043846
OH
2085P0229X
Pediatric Radiology Physician
Primary
41082
KY
2085P0229X
Pediatric Radiology Physician
42387
MN
2085P0229X
Pediatric Radiology Physician
4301053830
MI
2085P0229X
Pediatric Radiology Physician
46808-020
WI
2085P0229X
Pediatric Radiology Physician
MD00047561
WA
2085P0229X
Pediatric Radiology Physician
MD420848
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000565302
ANTHEM/NORTON
KY
01
—
0000230324
HUMANA
KY
01
—
00533040
MEDICARE
KY
01
—
096386
SIHO
—
05
—
200331670
—
IN
01
—
3525222000
PASSPORT ADVANTAGE
—
01
—
50019410
PASSPORT
—
01
—
64037203
MEDICAID
KY
Enumeration date
05/17/2006
Last updated
01/24/2013
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