Individual
STEVEN R GUNDRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E TACHEVAH DR, 3W-103, PALM SPRINGS, CA 92262-5750
(760) 323-5553
(760) 323-5554
Mailing address
PO BOX 1280, PALM SPRINGS, CA 92263
(760) 323-5553
(760) 323-5554
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G65020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G650200
—
CA
Enumeration date
08/23/2005
Last updated
07/08/2007
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