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Individual
DR. JONATHAN PRYOR
Active
Individual
DR. JONATHAN PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A62260
CA
208600000X
Surgery Physician
A62260
CA
2086S0102X
Surgical Critical Care Physician
Primary
A62260
CA
2086S0127X
Trauma Surgery Physician
A62260
CA
Other
Enumeration date
12/01/2006
Last updated
11/20/2014
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