Provider Demographics
NPI:1306980164
Name:GUNNING, CHANDLER TAMARA (DO)
Entity type:Individual
Prefix:DR
First Name:CHANDLER
Middle Name:TAMARA
Last Name:GUNNING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHANDLER
Other - Middle Name:T
Other - Last Name:GUNNING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO PC
Mailing Address - Street 1:5048 E FRIESS DRIVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254
Mailing Address - Country:US
Mailing Address - Phone:602-996-7278
Mailing Address - Fax:480-668-0766
Practice Address - Street 1:3740 E SOUTHERN
Practice Address - Street 2:SUITE 110
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206
Practice Address - Country:US
Practice Address - Phone:480-668-0711
Practice Address - Fax:480-668-0766
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry