Montoya Demont Gunn, IDC

NPI #1851592067 in Meridian, Mississippi

Provider Information

NPI Number: 1851592067
Entity Type: Individual
Name: Montoya Demont Gunn, IDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: May 29, 2007
Last Updated: Nov 10, 2009

Practice Location

Address: 1801 FULLER RD
Address 2: SUITE A-01
City: Meridian
State: Mississippi
ZIP Code: 39309-5106
Phone: (601) 679-3973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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