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Individual
JOSE ANTONIO VEGA PERALTA
Active
Individual
JOSE ANTONIO VEGA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
55180
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18660
INTERNAL MEDICINE RESIDENT PERMIT NUMBER
MN
Enumeration date
05/08/2008
Last updated
02/16/2018
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