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Individual
ROGER F GILDERSLEEVE
Active
Individual
ROGER F GILDERSLEEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101055287
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005858488
—
VA
01
—
21288
OPTIMA
VA
01
—
2202346
FIRST HEALTH
VA
01
—
225193
SOUTHERN HEALTH
VA
01
—
452942
ANTHEM
VA
01
—
5858488
VA PREMIER
VA
01
—
700011613
CIGNA
VA
Enumeration date
02/07/2006
Last updated
03/16/2010
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