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Individual
DR. JOHN W CLOUSE
Active
Individual
DR. JOHN W CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
R5B59
MO
2085R0001X
Radiation Oncology Physician
Primary
R5B59
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148380071
MEDICARE PTAN
MO
05
—
201574423
—
MO
Enumeration date
06/13/2005
Last updated
01/11/2023
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