Individual
DOLORES J GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 STATE ST, EAST SAINT LOUIS, IL 62205-1803
(618) 271-9191
(618) 271-9617
Mailing address
1266 EDLOR DR, SAINT LOUIS, MO 63138-3304
(314) 983-0038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036116296
IL
207Q00000X
Family Medicine Physician
119796
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204715528
—
MO
Enumeration date
04/27/2006
Last updated
05/05/2021
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