| Doctor Name: | DR. RICHARD ALAN MUNGER |
| NPI Number: | 1053398313 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G29848 |
| Business Practice Address: | 650 Pauline Ct Sonora, CA - 953705210 |
| Business Phone Number: | 2095325154 |
| Business Fax Number: | 2095325007 |
| Mailing Address: | 18300 Aarondale Rd, SONORA |
| State: | CA |
| Postal Code: | 953709740 |
| Phone Number: | 2095328400 |
| Fax Number: | 2095329737 |
| NPI Enumeration Date: | 12/28/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G29848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |