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Individual
ROCKFORD JAMES MEADOWS
Active
Individual
ROCKFORD JAMES MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.092454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000585221
ANTHEM BCBS
KY
01
—
000000593194
ANTHEM BCBS
KY
01
—
000000609822
ANTHEM BCBS
KY
05
—
2865805
—
OH
05
—
7100055940
—
KY
01
—
P00673293
RR MEDICARE
KY
Enumeration date
05/10/2007
Last updated
12/21/2020
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