Individual
SHELLY GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
250967
NY
207ZC0006X
Clinical Pathology Physician
A98691
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
M5198
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1052995
MEDICARE
CA
05
—
184553907
—
TX
Enumeration date
12/04/2006
Last updated
07/11/2013
Update your record
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