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NPI Code Detail

MEDICARE: BRIDGER GUNTER DO

MEDICARE:   BRIDGER  GUNTER  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician3681208ID

General Provider Information

NPI Number : 1235077264
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGER GUNTER DO
Provider Business Mailing Address
First Line : 500 W FORT ST # 111R
Second Line :
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W FORT ST # 111R
Second Line :
City : BOISE
State : ID
Zip : 83702-4501
Country : US
Telephone Number : 208-422-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 06/12/2026

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Directions to “ BRIDGER GUNTER DO” Practice Location

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