Individual
CORY GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1515 E CLARK ST, POCATELLO, ID 83201-4133
(208) 233-2273
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
(208) 232-7862
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-2417
ID
Other
Enumeration date
06/03/2022
Last updated
02/13/2026
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