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Individual

DEOGRACIAS VALLAR FAUSTINO

Active
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Individual

DEOGRACIAS VALLAR FAUSTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D0012901
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009431500
—
MD
01
—
1467771774
SECOND NPI #
MD
Enumeration date
10/19/2006
Last updated
04/15/2014
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