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Individual

DR. ROBERT BRADLEY TRUAX

Active
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Individual

DR. ROBERT BRADLEY TRUAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02002311A
IN
207Q00000X
Family Medicine Physician
Primary
34-008750
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225136
UNISON
OH
01
—
000000532553
ANTHEM
OH
05
—
2670524
—
OH
01
—
415046
WELLCARE
OH
01
—
745248
BUCKEYE
OH
01
—
9005069
AETNA
OH
01
—
P00412638
RAILROAD MEDICARE
OH
Enumeration date
11/16/2005
Last updated
12/03/2020
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