Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTOPHER D GUNDERSON, PA-C
ActiveCHRISTOPHER D GUNDERSON, PA-C is a Physician Assistant healthcare provider located in GARDEN CITY, Idaho. NPI 1417066143 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GARDEN CITY, ID
Registration Details
- NPI Number
- 1417066143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2006 (19.971451394261 yrs)
- Last Updated
- Dec 6, 2021
- Licenses
-
PA-742 (ID)PA10004402 (WA)
Practice Information
- Address
-
5601 W CHINDEN BLVDGARDEN CITY, ID, 837141463Browse ID providers · Browse ZIP 83714
- Phone
- 2088092865
- Fax
- 2088092866
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.