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Individual

GUNNAR WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2909 S HAMPTON RD, E121 BOX 26, DALLAS, TX 75224-3000
(214) 330-7028
(214) 330-8497
Mailing address
2448 W ILLINOIS AVE, DALLAS, TX 75233-1106
(214) 330-7028
(214) 330-8497

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
H5414
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112788801
TX
Enumeration date
07/07/2005
Last updated
03/06/2020
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