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Individual
REGGIE A VADEN
Active
Individual
REGGIE A VADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2014008946
MO
208600000X
Surgery Physician
40886
IA
208C00000X
Colon & Rectal Surgery Physician
Primary
2014008945
MO
208C00000X
Colon & Rectal Surgery Physician
K8545
TX
Other
Enumeration date
09/17/2006
Last updated
02/07/2017
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