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Individual

JOHN M MOTTO

Active
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Individual

JOHN M MOTTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD,MPH

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
17489
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651254688
BCBS
SC
Enumeration date
12/07/2005
Last updated
02/09/2012
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