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Individual
BRIAN MAGOVERN
Active
Individual
BRIAN MAGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036110354
IL
207X00000X
Orthopaedic Surgery Physician
Primary
A103550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386687606
NPI
—
01
—
BH719W
MEDICARE PTAN
CA
01
—
BH719Z
MEDICARE PTAN
—
Enumeration date
06/14/2006
Last updated
03/04/2020
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