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Individual
DR. TERRY BRENT PONDER
Active
Individual
DR. TERRY BRENT PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
36726
MO
207ZP0101X
Anatomic Pathology Physician
35085815
OH
207ZP0101X
Anatomic Pathology Physician
Primary
36726
MO
207ZP0101X
Anatomic Pathology Physician
4301090981
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2549095
—
OH
05
—
4715743
—
MI
Enumeration date
03/20/2006
Last updated
04/06/2016
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