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Individual
JOHN L SAWTELLE
Active
Individual
JOHN L SAWTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121503005
—
TX
01
—
124499
SUPERIOR HEALTH - CHIPS
TX
01
—
752616977073
TRICARE
TX
01
—
8S3138
BCBS
TX
01
—
TIN
TRICARE
TX
Enumeration date
02/17/2006
Last updated
01/10/2014
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