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Individual
JON L. PRYOR
Active
Individual
JON L. PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
34340
MN
208800000X
Urology Physician
Primary
54002
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255504
PREFERRED ONE
MN
05
—
0988162
—
IA
01
—
101399
UCARE
MN
05
—
1124101886
—
WI
05
—
148007300
—
MN
01
—
19-00018
MEDICA PRIMARY
MN
01
—
19-00606
MEDICA CHOICE
MN
01
—
2T448PR
BLUE CROSS BLUE SHIELD
MN
01
—
603764
ARAZ
MN
01
—
HP14204
HEALTH PARTNERS
MN
Enumeration date
10/23/2006
Last updated
01/31/2013
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