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Individual

DR. JONATHAN BERGENDAHL LUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3698 CHAMBERS PASS, FORT SAM HOUSTON, TX 78234-7766
(210) 539-3219
Mailing address
3698 CHAMBERS PASS, FORT SAM HOUSTON, TX 78234-7766
(210) 539-3219

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
18872
ND
208600000X
Surgery Physician
Primary
054457
GA

Other

Enumeration date
01/22/2007
Last updated
04/11/2023
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