Provider Demographics
NPI:1902012412
Name:GUNTHER, DAVID STEPHAN (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:STEPHAN
Last Name:GUNTHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 J ST
Mailing Address - Street 2:STE 210
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4849
Mailing Address - Country:US
Mailing Address - Phone:916-498-9464
Mailing Address - Fax:
Practice Address - Street 1:2530 J ST
Practice Address - Street 2:STE 210
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4849
Practice Address - Country:US
Practice Address - Phone:916-498-9464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor