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Individual

DR. REX E THORNHILL

Active
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Individual

DR. REX E THORNHILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000E3592
CA
213E00000X
Podiatrist
Primary
E3592
CA
332B00000X
Durable Medical Equipment & Medical Supplies
0263310002
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E35920
BLUE SHIELD PIN
CA
05
—
000E35920
—
CA
01
—
E3592
BLUE CROSS PIN
CA
Enumeration date
11/28/2005
Last updated
03/26/2018
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