GUNTHER, PHILLIP (MD)

Provider Demographics

• NPI: 1922083401
• Name: GUNTHER, PHILLIP (MD)
• Entity Type: Individual
• First Name: PHILLIP
• Last Name: GUNTHER
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 10800 E GEDDES AVE STE 300
• Mailing Address - City: ENGLEWOOD
• Mailing Address - State: CO
• Mailing Address - Zip Code: 80112-3895
• Mailing Address - Country: US
• Mailing Address - Phone: 303-761-9190
• Mailing Address - Fax: 720-874-4462
• Practice Address - Street 1: 10800 E GEDDES AVE STE 300
• Practice Address - City: ENGLEWOOD
• Practice Address - State: CO
• Practice Address - Zip Code: 80112-3895
• Practice Address - Country: US
• Practice Address - Phone: 303-761-9190
• Practice Address - Fax: 720-874-4462
• Is Sole Proprietor?: No
• Enumeration Date: 2005-12-07
• Last Update Date: 2022-12-12

Provider Licenses

State	License ID	Taxonomies
KS	04-36271	2085R0202X
HI	17549	2085R0202X
TN	54296	2085R0202X
NE	24987	2085R0202X
CO	37502	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
KS	100398110B	Medicaid
WA	0324193	Medicaid
NE	10025709000	Medicaid
UT	1679513196	Medicaid
WA	1922083401	Medicaid
MO	1922083401	Medicaid
CA	1922083401	Medicaid
AZ	808264	Medicaid
NE	P00720357	Other	RR MCR NE
OK	200239840A	Medicaid
WI	82522300	Medicaid
NC	7617662	Medicaid
UT	1922083401	Medicaid
IA	1922083401	Medicaid
OH	1922083401/2548247	Medicaid
CO	80778852	Medicaid
SD	1922083401/7726610	Medicaid
NE	84-059792913	Medicaid
CO	P00451369	Other	RR MCR MIC
WY	1922083401	Medicaid
NM	K9328	Medicaid
CO	P00428312	Other	RR MEDICARE
SC	Q37502	Medicaid
CO	391937ZLJ3	Medicare PIN
NE	NA1214020	Medicare PIN
CO	80778852	Medicaid
NC	7617662	Medicaid
NE	NA2517028	Medicare PIN
NE	NA1215020	Medicare PIN
NE	P00720357	Other	RR MCR NE
MO	1922083401	Medicaid
UT	1922083401	Medicaid
KS	100398110B	Medicaid