Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | DC22911 | CA |
NPI | 1518163641 |
---|---|
Provider Name | Dr. Stephen Richard Gunter |
First Address | Monterey, CA 93942-1551 |
Second Address | Monterey, CA 93940-4518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 02/11/2009 |