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Individual

STUART C HEAD

Active
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Individual

STUART C HEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
10575R
LA
2085R0202X
Diagnostic Radiology Physician
10575R
LA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
10575R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1496774
—
LA
01
—
300106571
RAILROAD MEDICARE
LA
Enumeration date
07/09/2005
Last updated
05/09/2011
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