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Individual

STEVEN GORDON GUNDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6890 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8610
(423) 839-2120
Mailing address
2601 N JOHN B DENNIS HWY APT 1901, KINGSPORT, TN 37660-0828
(507) 589-9271

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/13/2022
Last updated
10/26/2022
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