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Individual

DR. ROGER A GUNN

Active
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Individual

DR. ROGER A GUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
22334
IA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
3935
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005660
WELLMARK BLX SD DUNES
SC
05
0035287
IA
05
1035287
IN
01
23528
WELLMARK BLX
IA
Enumeration date
12/06/2005
Last updated
07/13/2026
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