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NPI Code Detail

MEDICARE: DR. JONATHAN GUENTER M.D.

MEDICARE: DR. JONATHAN GUENTER M.D.
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
1207P00000XEmergency Medicine Physician7319928-1205UT
2207PE0004XEmergency Medical Services (Emergency Medicine) Physician20210HI
3207P00000XEmergency Medicine Physician134025NC

General Provider Information

NPI Number : 1619006426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN GUENTER M.D.
Provider Business Mailing Address
First Line : PO BOX 571117
Second Line :
City : MURRAY
State : UT
Zip : 84157-1117
Country : US
Telephone Number : 801-507-9700
Fax Number :
Provider Business Practice Location Address
First Line : 9660 S 1300 E
Second Line :
City : SANDY
State : UT
Zip : 84094-3762
Country : US
Telephone Number : 801-501-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 02/02/2022

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