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Individual
RALPH DENTON UPDYKE JR.
Active
Individual
RALPH DENTON UPDYKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102544
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003877655
RAILROAD MEDICARE
NC
01
—
500005817
RAILROAD MEDICARE
NC
05
—
8101560
—
NC
Enumeration date
03/31/2006
Last updated
02/05/2024
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