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Individual
NATHANIEL KWAK
Active
Individual
NATHANIEL KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13181453-1205
UT
207RG0100X
Gastroenterology Physician
S2824
TX
Other
Enumeration date
04/22/2013
Last updated
08/21/2023
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