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Individual
DR. JEDIDIAH DUNBAR OLDHAM
Active
Individual
DR. JEDIDIAH DUNBAR OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11197222-1204
UT
208600000X
Surgery Physician
5101020701
MI
390200000X
Student in an Organized Health Care Education/Training Program
58976
MT
Other
Enumeration date
06/18/2013
Last updated
11/27/2023
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