Individual
RICHARD ALAN GUNOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 WAYNE ST STE 112, MARIETTA, OH 45750-3309
(740) 373-4288
(740) 373-4254
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34006878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379607
ANTHEM
OH
01
—
000000696929
ANTHEM
OH
05
—
0010530000
—
WV
05
—
2080215
—
OH
01
—
P00327899
RRMCR
OH
Enumeration date
12/15/2005
Last updated
07/15/2021
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