Search › Arizona › 101YM0800X
Brent Gunderson
NPI 1376022186 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6718 E Calle La Paz Unit C
Tucson, AZ 85715 - Phone
- (520) 270-2177
- Organisation at this address
- Masterdream Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona