Dale Eugene Gunderson in Rapid City - Otolaryngology

Dale Eugene Gunderson - NPI 1699973263

Dale Eugene Gunderson is a Otolaryngology in Rapid City, South Dakota. Dale Eugene Gunderson practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Dale Eugene Gunderson is 1699973263. The last update date is 2007-07-08.

Dale Eugene Gunderson's current location address is 504 E Monroe St, Rapid City, South Dakota. You can contact this provider via phone number 6053946761. The mailing address for Dale Eugene Gunderson is 504 E Monroe St, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale Eugene Gunderson
Address 504 E Monroe St, Rapid City, South Dakota
Phone Number 6053946761
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1699973263
Provider Enumeration Date 2007-07-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 504 E Monroe St
City Rapid City
State South Dakota (SD)
Post Code 577011400
Phone Number 6053946761
Fax Number

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 1142
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5350060 SD --

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FAQs about Dale Eugene Gunderson

What is the Dale Eugene Gunderson's unique identification number?

The Dale Eugene Gunderson has been assigned the NPI (National Provider Identifier) Number 1699973263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Dale Eugene Gunderson is geographically located?

The Dale Eugene Gunderson is physically situated at the following location: 504 E Monroe St, Rapid City, SD, 577011400.

What is Dale Eugene Gunderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dale Eugene Gunderson is Otolaryngology, and the corresponding taxonomy classification code for this specialized field is 207Y00000X.

On what date did the Dale Eugene Gunderson receive the assignment of its 1699973263 from the Centers for Medicare & Medicaid Services?

The Dale Eugene Gunderson was issued its 1699973263 by the Centers for Medicare & Medicaid Services on 2007-07-05.

As of what date was the information regarding Dale Eugene Gunderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dale Eugene Gunderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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