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Individual

DR. JONATHAN JAMES TRUCHAN

Active
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Individual

DR. JONATHAN JAMES TRUCHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000937A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250470
ANTHEM
—
01
—
000000250471
ANTHEM
—
01
—
000000527538
ANTHEM
IN
01
—
0007539414
AETNA
—
05
—
200499240
—
IN
Enumeration date
12/06/2006
Last updated
07/13/2019
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