Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI # | 1376862284 |
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| LBN Legal business name | MCLEOD PHYSICIAN ASSOCIATES II | ||||
| Authorized official | JEFFREY MURRELL - (AVP/REGIONAL PRACTICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 05/18/2010 | ||||
| Last updated | 05/18/2010 - About 16 years ago | ||||
| Identifiers |
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MCLEOD PHYSICIAN ASSOCIATES II
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