Physician Compare National (NPI:1073844973)

HEALTHCARE PROVIDER: BENJAMIN RUSSELL GUNN D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1073844973
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365578135
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100331000455
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUNN
	Individual professional last name
Provider First Name	BENJAMIN
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	340 W MAIN ST
	Group Practice or individual's line 1 address
City	AMERICAN FORK
	Group Practice or individual's city
State	UT
	Group Practice or individual's state
Zip Code	840032230
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y