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Contact Information

LEONARD L GUNDERSON, MD
5779 E MAYO BLVD
PHOENIX, AZ85054-4502
 Phone: 480-301-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for LEONARD L GUNDERSON · (Male)

NPI # 1265416366
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 10/29/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 17918
  • AZ Medicaid 490350
  • AZ Other 86080015085259A806 TRIWEST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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