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Individual
RICHARD L CANLAS
Active
Individual
RICHARD L CANLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
43563-020
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
MD428036
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME146676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103459365
—
PA
05
—
34134400
—
WI
Enumeration date
07/01/2006
Last updated
06/23/2021
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