Provider Demographics
NPI:1255406757
Name:GUNNELL, STEVEN F (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:GUNNELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1775 BROWNING WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8335
Mailing Address - Country:US
Mailing Address - Phone:775-777-3535
Mailing Address - Fax:775-777-3559
Practice Address - Street 1:1775 BROWNING WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8335
Practice Address - Country:US
Practice Address - Phone:775-777-3535
Practice Address - Fax:775-777-3559
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV1102207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500571Medicaid
NV100500571Medicaid
NVH20109Medicare UPIN