Individual
DR. MARIJAN GOSPODNETIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 JOHNSTON WILLIS DR, SUITE 5000, RICHMOND, VA 23235-4730
(804) 320-2483
Mailing address
1 PARKWEST CIR, SUITE 200, MIDLOTHIAN, VA 23114-5551
(804) 320-2483
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101030023
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000010919702
UNITED
—
01
—
0021429
AETNA US HEALTHCARE
—
01
—
11937
CARENET
—
01
—
1452472
CIGNA
—
01
—
226121
ANTHEM
—
01
—
329248
MAMSI
—
01
—
33514
SENTARA
—
01
—
541941044002
TRICARE
—
01
—
6206247
VA PREMIER
—
01
—
94528
SOUTHERN HEALTH
—
Enumeration date
01/23/2006
Last updated
02/13/2008
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