Organization · Type 2 NPI

Clark A Gunderson MD Amc

Clinic/Center · Lake Charles, LA

NPI number 1861766321 Active

Practice location

2615 Enterprise Blvd
Lake Charles, LA 70601-7686

Call (337) 439-0385 Map

Fax (337) 433-5448

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X0124589 (LA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1861766321

Clark A Gunderson MD Amc's National Provider Identifier is 1861766321, issued on Mar 1, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lake Charles, LA. The record was last updated on Mar 1, 2012.