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Individual

DR. MARK GERARD GUARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10148 W BROAD ST, STE 101, GLEN ALLEN, VA 23060-6760
(804) 747-7474
(804) 965-9360
Mailing address
10148 W BROAD ST, STE 101, GLEN ALLEN, VA 23060-6760
(804) 747-7474
(804) 965-9360

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000710
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
054234
ANTHEM
01
0827590
CIGNA
01
1456026
BLUE CROSS HIGH MARK
01
170425
SOUTHERN HEALTH
01
2125679
AETNA
01
4400136
UNITED HEALTH CARE
01
460541
ACN
Enumeration date
11/08/2005
Last updated
11/17/2011
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