NPI 1104638790
Scott Christopher Gunderman, PROVIDER
Practice location
- Address
- 1621 Tuxedo Ave, Parma, OH 44134-1737
- Phone
- (216) 450-7171
Registered specialties (2)
Basic Emergency Medical Technician
Primary
Drama Therapist
Registry record
- NPI
- 1104638790
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jan 2025
- Record last updated
- 22 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.