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Individual
DR. JOHN WADDELL
Active
Individual
DR. JOHN WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T-3234
MS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
T-3234
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
06/27/2019
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