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Individual
JORGE A VALDIVIA
Active
Individual
JORGE A VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-35968
KS
207R00000X
Internal Medicine Physician
2016043564
MO
208M00000X
Hospitalist Physician
04-35968
KS
208M00000X
Hospitalist Physician
Primary
2016043564
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002408
MEDICARE PTAN
KS
Enumeration date
07/27/2009
Last updated
09/14/2026
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