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Individual
MR. JERRY WILLIAM HUSSONG
Active
Individual
MR. JERRY WILLIAM HUSSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
3403921205
UT
207ZH0000X
Hematology (Pathology) Physician
9291
NV
207ZH0000X
Hematology (Pathology) Physician
G86484
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
3403921205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
9291
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G86484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200225018
—
NV
Enumeration date
03/30/2006
Last updated
10/29/2013
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