Individual
JACK MATTHEW GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 574-4440
(509) 574-4481
Mailing address
732 SUMMITVIEW AVE, #633, YAKIMA, WA 98902-3032
(509) 573-3448
(509) 574-4481
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00039736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8313694
—
WA
Enumeration date
03/30/2006
Last updated
07/10/2007
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