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Individual
DR. JARED ROBERT WIDDER
Active
Individual
DR. JARED ROBERT WIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
NULL
207W00000X
Ophthalmology Physician
Primary
16655
CA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
16655
CA
Other
Enumeration date
04/27/2017
Last updated
07/14/2023
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