CLARK A GUNDERSON MD AMC

LAKE CHARLES, LA
NPI1861766321
Entity TypeOrganization
Authorized ContactCLARK A GUNDERSON
President
337-439-0385
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: LA  0124589)
Enumeration Date2012-03-01
Last Update Date2012-03-01
Business Address
CLARK A GUNDERSON MD AMC
2615 ENTERPRISE BLVD
LAKE CHARLES, LA 70601-7686
Phone number: 337-439-0385
Mailing Address
CLARK A GUNDERSON MD AMC
2615 ENTERPRISE BLVD
LAKE CHARLES, LA 70601-7686
Phone number: 337-439-0385