Individual provider · Type 1 NPI
Cory Gunn, PA
Medical Physician Assistant · Pocatello, ID
NPI number
1881333060
Active
Practice location
1515 E Clark St
Pocatello, ID 83201-4133
Mailing address
500 S 11th Ave Ste 400
Pocatello, ID 83201-4880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-2417 (ID) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
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About NPI 1881333060
Cory Gunn, PA's National Provider Identifier is 1881333060, issued on Jun 3, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Feb 13, 2026.